WILLIAM DOMINIC DE LA ROSA SUDRC
NPI 1336906502
Peer Specialist in Oceanside, CA

Q: What is William De La Rosa's NPI number?

The NPI number for William De La Rosa is 1336906502. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Q: What is William De La Rosa's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Active since March 04, 2024

3230 WARING CT STE A, OCEANSIDE, CA 92056(760) 305-7528(760) 509-4410 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Mar 4, 2024 (2 updates tracked since 2024).

On this page

About William Dominic De La Rosa Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM DOMINIC DE LA ROSA SUDRC (NPI 1336906502) is an individual peer specialist in Oceanside, California, licensed in California (MPSS-YVNQJW) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1336906502

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameWILLIAM DOMINIC DE LA ROSACredential: SUDRC

Location Address3230 WARING CT STE AOceanside, CA 92056-4509

Mailing Address3230 Waring Ct Ste AOceanside, CA 92056-4509 · (760) 305-7528 · Fax (760) 509-4410

Phone(760) 305-7528

Fax(760) 509-4410

Sole ProprietorNo

Enumeration DateMarch 4, 2024

Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1336906502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-YVNQJW

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17438 (CA)

3230 WARING CT STE A, Oceanside, CA 92056

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA BROOKE WAGNER

Counselor (Addiction (Substance Use Disorder))