Active NPI
Lauren Derosa
- Rehabilitation Practitioner
- Morgan Hill, CA
National Provider Identifier
1366209975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 17060 Monterey St
Morgan Hill, CA 95037-3636 - Phone
- (669) 308-7255
- NPI assigned
- Feb 29, 2024
- Last updated
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | EDC237F210 | CA | |
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
17060 Monterey St
Morgan Hill, CA 95037-3636
Mailing address
17060 Monterey St
Morgan Hill, CA 95037-3636
Phone (669) 308-7255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EDC237F210 | CA | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1366209975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17060 MONTEREY ST",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373636",
"telephone_number": "669-308-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17060 MONTEREY ST",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373636",
"telephone_number": "669-308-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROSA",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "CA",
"license": "EDC237F210",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.