LAURA LISA CEBALLOS M.D.
NPI 1275724841
Obstetrics & Gynecology in San Diego, CA

Q: What is Laura Ceballos's NPI number?

The NPI number for Laura Ceballos is 1275724841. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Q: What is Laura Ceballos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Ceballos was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment

1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Jan 23, 2019 (2 updates tracked since 2019).

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About Laura Lisa Ceballos M.d. NPPES

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

LAURA LISA CEBALLOS M.D. (NPI 1275724841) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (C198539) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2005).

NPPES Registry Identity

NPI1275724841

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLAURA LISA CEBALLOSCredential: M.D.

Location Address1809 NATIONAL AVESan Diego, CA 92113-2113

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 515-2300

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2005

Enumeration DateAugust 7, 2007

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1275724841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · C198539✔ Licensed in TX · M8580

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1809 NATIONAL AVE, San Diego, CA 92113

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Other Identifiers 3

Other8CA111Bcbs

OtherM8580TX · Lic

Medicaid201438301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Lisa Ceballos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264580109

PECOS Enrollment IDI20250307003414

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ISMAEL LABRA HERNANDEZ

Nutritionist (Nutrition, Education)