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

Derek Martin, SUDCC

Individual provider Case Manager/Care Coordinator · NPI 1720788862

Derek Martin, SUDCC is a Case Manager/Care Coordinator in Auburn, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

11512 B Ave
Auburn, CA 95603-2605
Phone: (530) 886-2933
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9783 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1720788862
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCC
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address11512 B Ave, Auburn, CA 95603-2605

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