John David Derosa, B.S., CADCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A7071011 Issued in CA

Practice address

100 E Market St
Long Beach, CA 90805-5924

Phone

(562) 428-4222

Fax

(562) 428-0372

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1750636643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055924",
            "telephone_number": "562-428-4222",
            "fax_number": "562-428-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MARKET ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055924",
            "telephone_number": "562-428-4222",
            "fax_number": "562-428-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "B.S., CADCII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A7071011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Laraine Deppe, MFT-LICENSED
• Paulina M Dequiroz, MD
• Derek M Dobalian a Medical Corporation
• Lalasauwera Derico
• Dermatology Associates of Southern California Inc
• Chelsea Kaye Derossi
• Stephanie Derouiche
• Nolan Stephen Desa, MD
• Dhansukhlal B Desai, R.PH
• Jennifer Marie Desantis, ACSW

• Addiction (Substance Use Disorder) Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.