Healthcare Provider Details

I. General information

NPI: 1679497747
Provider Name (Legal Business Name): MARIANGELA ESPERANZA ROSSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3192 GLEN CANYON RD
SCOTTS VALLEY CA
95066-4916
US

IV. Provider business mailing address

18540 MURPHY SPRINGS CT
MORGAN HILL CA
95037-3063
US

V. Phone/Fax

Practice location:
  • Phone: 831-431-8056
  • Fax:
Mailing address:
  • Phone: 831-431-8056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number139668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: