Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De'Ron Hackler

Individual provider Case Manager/Care Coordinator · NPI 1225612922

De'Ron Hackler is a Case Manager/Care Coordinator in San Diego, California. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 892 27th St, San Diego, CA 92154-1444 — (619) 575-4687

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1225612922
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

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