DR. LALITA KHAODHIAR TANTISIRA M.D.
NPI 1508874298
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Diego, CA

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
12395 EL CAMINO REAL, SAN DIEGO, CA 92130(858) 793-2727 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Dec 8, 2020 (2 updates tracked since 2020).

About Dr. Lalita Khaodhiar Tantisira M.d. NPPES

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

DR. LALITA KHAODHIAR TANTISIRA M.D. (NPI 1508874298) is an individual endocrinology, diabetes & metabolism provider in San Diego, California, licensed in California (C170095) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1508874298
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. LALITA KHAODHIAR TANTISIRACredential: M.D.
Location Address12395 EL CAMINO REALSan Diego, CA 92130-3082
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 793-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 4, 2006
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
NPI 1508874298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · C170095
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
12395 EL CAMINO REAL, San Diego, CA 92130

Other Names 1

Former Name (1)Lalita Khaodhiar

Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273

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

Dr. Lalita Khaodhiar Tantisira 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 ID6709881592
PECOS Enrollment IDI20201214001036
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
175 services138 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
41 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

Dentist
12395 EL CAMINO REAL, SUITE NUMBER 314
SAN DIEGO, CA 92130
Pediatrics
12395 EL CAMINO REAL, SUITE 311
SAN DIEGO, CA 92130
Family Medicine
12395 EL CAMINO REAL, SUITE 100
SAN DIEGO, CA 92130
Clinic/Center (Primary Care)
12395 EL CAMINO REAL, SUITE 311
SAN DIEGO, CA 92130
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12395 EL CAMINO REAL, SUITE 317
SAN DIEGO, CA 92130
Pediatrics (Developmental - Behavioral Pediatrics)
12395 EL CAMINO REAL, SUITE 105
SAN DIEGO, CA 92130
Dentist (Orthodontics and Dentofacial Orthopedics)
12395 EL CAMINO REAL, SUITE 218
SAN DIEGO, CA 92130
Acupuncturist
12395 EL CAMINO REAL, SUITE 311
SAN DIEGO, CA 92130

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 Lalita Tantisira's NPI number?

The NPI number for Lalita Tantisira is 1508874298. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as Lalita Khaodhiar.

Where is Lalita Tantisira located?

Lalita Tantisira practices at 12395 El Camino Real, San Diego, CA 92130. The listed phone number is (858) 793-2727.

What is Lalita Tantisira's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Lalita Tantisira enrolled in Medicare?

Yes. Lalita Tantisira is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lalita Tantisira was last updated on November 11, 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.