DORA SHALTS-LASTRA MA
NPI 1366888943
Counselor - Mental Health in Menlo Park, CA

Active since May 22, 2013PECOS Enrolled
1020 FLORENCE LN APT 15, MENLO PARK, CA 94025(201) 407-4606 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dora Shalts-lastra Ma NPPES

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

DORA SHALTS-LASTRA MA (NPI 1366888943) is an individual mental health provider in Menlo Park, California, licensed in California (12551) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2011).

NPPES Registry Identity

NPI1366888943
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDORA SHALTS-LASTRACredential: MA
Location Address1020 FLORENCE LN APT 15Menlo Park, CA 94025-4928
Mailing Address1020 Florence Ln Apt 15Menlo Park, CA 94025-4928 · (201) 407-4606
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2011
Enumeration DateMay 22, 2013
Last NPPES UpdateMay 22, 2026
NPPES CertifiedMay 22, 2026
NPI 1366888943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 12551
1020 FLORENCE LN APT 15, Menlo Park, CA 94025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dora Shalts-lastra Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072084243
PECOS Enrollment IDI20260609000732
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.

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 Dora Shalts-lastra's NPI number?

The NPI number for Dora Shalts-lastra is 1366888943. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Dora Shalts-lastra located?

Dora Shalts-lastra practices at 1020 Florence Ln Apt 15, Menlo Park, CA 94025. The listed phone number is (201) 407-4606.

What is Dora Shalts-lastra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dora Shalts-lastra enrolled in Medicare?

Yes. Dora Shalts-lastra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dora Shalts-lastra was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.