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

Rudy Domingo Deanda, RADT1

Individual provider Case Manager/Care Coordinator · NPI 1497439053

Rudy Domingo Deanda, RADT1 is a Case Manager/Care Coordinator in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

280 17th St
Oakland, CA 94612-4124
Phone: (510) 238-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence R1484390922 (CA)

Record details

NPI number1497439053
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT1
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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