DR. ELIZABETH ELLIS LASALLE MD
NPI 1235634015
Pediatrics - Pediatric Cardiology in San Diego, CA
About Dr. Elizabeth Ellis Lasalle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELIZABETH ELLIS LASALLE MD (NPI 1235634015) is an individual pediatric cardiology provider in San Diego, California, licensed in California (A173973) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Elizabeth Ellis Lasalle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Elizabeth Lasalle's NPI number?
The NPI number for Elizabeth Lasalle is 1235634015. It was assigned to this individual provider in the NPPES registry on March 26, 2018.
Where is Elizabeth Lasalle located?
Elizabeth Lasalle practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-5855.
What is Elizabeth Lasalle's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Elizabeth Lasalle enrolled in Medicare?
Yes. Elizabeth Lasalle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Elizabeth Lasalle was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Elizabeth Ellis Lasalle, MD · NPI 1235634015
Pediatric Cardiology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1235634015 (Entity type: Individual)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** A173973 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-5855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235634015) · Data from the CMS NPPES public registry.