DEEPA ZUBIN LAIWALLA D.O.
NPI 1336402916
Student in an Organized Health Care Education/Training Program in Colton, CA

Q: What is Deepa Laiwalla's NPI number?

The NPI number for Deepa Laiwalla is 1336402916. It was assigned to this individual provider in the NPPES registry on June 19, 2012. The provider is also known as Deepa Khoday D.O.

Q: What is Deepa Laiwalla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Deepa Laiwalla was last updated on December 23, 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.

Active since June 19, 2012PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-1000 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2021, Apr 11, 2017 (2 updates tracked since 2017).

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About Deepa Zubin Laiwalla D.o. NPPES

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

DEEPA ZUBIN LAIWALLA D.O. (NPI 1336402916) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336402916

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDEEPA ZUBIN LAIWALLACredential: D.O.

Location Address400 N PEPPER AVEColton, CA 92324-1801

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043

Phone(909) 580-1000

Sole ProprietorNo

Enumeration DateJune 19, 2012

Last NPPES UpdateDecember 23, 20212 updates tracked since enumeration

NPPES CertifiedDecember 23, 2021

✔ NPI 1336402916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

400 N PEPPER AVE, Colton, CA 92324

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Other Names 1

Former Name (1)Deepa Khoday D.o

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepa Zubin Laiwalla 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.

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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.

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