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

Derek Deng

Individual provider Family Medicine Physician · NPI 1811657596

Derek Deng is a Family Practice in Lebanon, Oregon. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2021

Practice location Address checks out

200 Mullins Dr
Lebanon, OR 97355
Phone: (541) 259-0235
Show map & directions

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

Additional practice locations (1)

  • 300 Hillmont Ave Bldg 340 Ste 101, Ventura, CA 93003 — (805) 652-6100

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A24650 (CA)

Record details

NPI number1811657596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 22, 2021
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address200 Mullins Drive, Lebanon, OR 97355

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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