Jaclyn Renee Derosso, AUD.
NPI 1184186447ActiveIndividual· Audiologist· Reseda, CA
Audiologist (AUD.) in Reseda, California, licensed in OR, with an NPI issued in April 2019.
Overview
| NPI | 1184186447 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD. |
| Sole proprietor | No |
| NPI issued | Apr 4, 2019 |
| Last updated in NPPES | Oct 13, 2020 |
| Certified by provider | Oct 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 30928 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|