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

Kelvin Clarence Aquilizan Derrada

Individual provider Licensed Vocational Nurse · NPI 1295242899

Kelvin Clarence Aquilizan Derrada is a Licensed Vocational Nurse in Lathrop, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

13405 Brookwood Way
Lathrop, CA 95330-8920
Phone: (209) 982-9368
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 280438 (CA)

Record details

NPI number1295242899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2018
Last updated in NPPESJanuary 4, 2018

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