1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Pediatrics
  6. NPI Profile

DEANNA LAU D.O.
NPI 1992186662
Pediatrics - Developmental - Behavioral Pediatrics in Santa Rosa, CA

Active since June 17, 2015PECOS Enrolled
121 SOTOYOME ST STE 203, SANTA ROSA, CA 95405(707) 303-1705 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2021, Nov 5, 2021, May 20, 2018 (3 updates tracked since 2018).

About Deanna Lau D.o. NPPES

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

DEANNA LAU D.O. (NPI 1992186662) is an individual developmental - behavioral pediatrics provider in Santa Rosa, California, licensed in California (20A18785) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992186662
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDEANNA LAUCredential: D.O.
Location Address121 SOTOYOME ST STE 203Santa Rosa, CA 95405-4822
Mailing Address121 Sotoyome St Ste 203Santa Rosa, CA 95405-4822 · (707) 303-1705
Phone(707) 303-1705
Sole ProprietorNo
Enumeration DateJune 17, 2015
Last NPPES UpdateDecember 2, 20213 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
✔ NPI 1992186662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in CA · 20A18785
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
121 SOTOYOME ST STE 203, Santa Rosa, CA 95405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 Washington StBoston, MA 02111-1552 · Phone (617) 636-5000
Location 22601 Ocean PkwyBrooklyn, NY 11235 · Phone (510) 708-6489

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deanna Lau D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Deanna Lau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
0.2 mi
Internal Medicine
500 DOYLE PARK DR, SUITE 303
Santa Rosa, CA 95405
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1740584473 (707) 303-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

ELIZABETH P TITO MD
Surgery
121 SOTOYOME ST STE 203
SANTA ROSA, CA 95405
Sonoma County (707) 525-6180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deanna Lau's NPI number?

The NPI number for Deanna Lau is 1992186662. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Deanna Lau located?

Deanna Lau practices at 121 Sotoyome St Ste 203, Santa Rosa, CA 95405. The listed phone number is (707) 303-1705.

What is Deanna Lau's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Deanna Lau enrolled in Medicare?

Yes. Deanna Lau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deanna Lau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Lau reassigns Medicare benefits to Providence Medical Foundation (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deanna Lau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deanna Lau was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.