DORA SHALTS-LASTRA MA
NPI 1366888943
Counselor - Mental Health in Menlo Park, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dora Shalts-lastra Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dora Shalts-lastra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Dora Shalts-lastra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dora Shalts-lastra reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dora Shalts-lastra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 5 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.
# Dora Shalts-Lastra, MA · NPI 1366888943
Mental Health provider in Menlo Park, California. Individual provider, active in the CMS NPPES registry since May 22, 2013.
## Identity
- **NPI:** 1366888943 (Entity type: Individual)
- **Enumerated:** May 22, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 12551 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1020 FLORENCE LN APT 15, Menlo Park, CA 94025-4928
- **Phone:** (201) 407-4606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** May 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366888943) · Data from the CMS NPPES public registry.