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Derrick Phommachit
NPI 1467214403 · Behavior Technician · Newark, CA
Derrick Phommachit is a Behavior Technician provider in Newark, CA (NPI 1467214403).
Provider details
- NPI number
- 1467214403
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
39899 Balentine Dr Ste 110
Newark, CA 94560-5356
Phone: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2024-01-25
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Frequently asked questions
- What is Derrick Phommachit's NPI number?
- Derrick Phommachit's National Provider Identifier (NPI) is 1467214403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Phommachit's specialty?
- Derrick Phommachit is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Derrick Phommachit located?
- Derrick Phommachit's practice location on file with NPPES is 39899 Balentine Dr Ste 110, Newark, CA 94560-5356.
- What is Derrick Phommachit's phone number?
- The practice phone number listed in the NPPES registry for Derrick Phommachit is (855) 223-7123.
- Is Derrick Phommachit's NPI active?
- Yes — Derrick Phommachit's NPI (1467214403) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.