MEDICARE: DERRICK S HOGAN II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion		CA
2	172V00000X	Community Health Worker		CA

General Provider Information

NPI Number	:	1619789674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DERRICK S HOGAN II

Provider Business Mailing Address
First Line	:	3780 ROSIN CT STE 110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1698
Country	:	US
Telephone Number	:	916-441-0226
Fax Number	:

Provider Business Practice Location Address
First Line	:	3628 MADISON AVE STE 6
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-5070
Country	:	US
Telephone Number	:	916-388-3231
Fax Number	:	916-388-3232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	12/18/2025

Similar Medicare Providers

1275644718 — MR. LEVI AARON COMBS
Practice Location Address:

3628 MADISON AVE STE 6
NORTH HIGHLANDS, CA
95660-5070

Practice Phone: 916-388-3231
Practice Fax:

1194930586 — MARILYN A WASHINGTON
Practice Location Address:

3628 MADISON AVE STE 7
NORTH HIGHLANDS, CA
95660-5070

Practice Phone: 916-576-4222
Practice Fax:

1720269566 — DANNY CHOUA FANG
Practice Location Address:

3628 MADISON AVE STE 6
NORTH HIGHLANDS, CA
95660-5070

Practice Phone: 916-388-3231
Practice Fax:

1841473147 — DR. DEBORAH LEE VALENZUELA PSYD
Practice Location Address:

3628 MADISON AVE STE 6
N HIGHLANDS, CA
95660-5070

Practice Phone: 916-947-7300
Practice Fax:

1851750475 — ARMIN JULIO MORALES
Practice Location Address:

3628 MADISON AVE STE 7
NORTH HIGHLANDS, CA
95660-5070

Practice Phone: 916-567-4222
Practice Fax:

1508382433 — DANIEL R CHRISTENSEN
Practice Location Address:

3628 MADISON AVE STE 6
NORTH HIGHLANDS, CA
95660-5070

Practice Phone: 916-388-6400
Practice Fax:

Directions to “ DERRICK S HOGAN II ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.