SearchCalifornia101YA0400X

Derek Whittington, CATC IV

NPI 1811861941 · on the registry since 2025

Practice

Address
2901 Cleveland Ave Ste 101
Santa Rosa, CA 95403
Phone
(707) 308-4492
Organisation at this address
Vanguard Performance, Llc
Pura Vida Recovery Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California