Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LESJE DEROSE MD
NPI 1801357181
Pediatrics - Pediatric Cardiology in San Francisco, CA

Q: What is Lesje Derose's NPI number?

The NPI number for Lesje Derose is 1801357181. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Lesje Derose's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Lesje Derose was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2019PECOS Enrolled

1825 4TH ST FL 6, SAN FRANCISCO, CA 94143(415) 353-3450 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Sep 11, 2026, Jun 18, 2025 (3 updates tracked since 2025).

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About Lesje Derose Md NPPES

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

LESJE DEROSE MD (NPI 1801357181) is an individual pediatric cardiology provider in San Francisco, California, licensed in New York (343629) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1801357181

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameLESJE DEROSECredential: MD

Location Address1825 4TH ST FL 6San Francisco, CA 94143-2350

Mailing Address3959 Broadway # Chn-2New York, NY 10032-1559

Phone(415) 353-3450

Sole ProprietorNo

Enumeration DateMarch 28, 2019

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1801357181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in NY · 343629✔ Licensed in CA · A178217

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

1825 4TH ST FL 6, San Francisco, CA 94143

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Secondary Practice Location 1

Location 1747 52nd StOakland, CA 94609-1809 · Phone (510) 428-3331

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesje Derose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MISS FEDNA MORENCY P.A.-C, ATC

Physician Assistant (Surgical)