Marjorie Villalobos Larosa, O.T.R/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11239 Issued in CA

Practice address

2644 Meath Dr
South San Francisco, CA 94080-3854

Phone

(650) 534-8065

NPI assigned

Apr 5, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1619233483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 MEATH DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 MEATH DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803854",
            "telephone_number": "650-534-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSA",
        "first_name": "MARJORIE",
        "middle_name": "VILLALOBOS",
        "name_prefix": "Mrs.",
        "credential": "O.T.R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4501 Sand Creek Rd",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945318687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Lam, RDN
• Sau Ming Lam, RDN
• Geneann Lamoria, RRT
• Stefanie N Lamoy
• Kimberly Lane, MS, CGC
• Jennifer Jean Nissly Larsen, M.D.
• Susan S Lasell, PHARM.D.
• Cassandra Marie Laterza, LCSW
• Kathy Lau, PHARM.D.
• Tiffany Lau

• Occupational Therapist in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.