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VICTORIA LASALA M.D.
NPI 1528500576
Pediatrics in San Luis, AZ

Active since November 08, 2016PECOS Enrolled
1896 E BABBITT LN, SAN LUIS, AZ 85349(928) 722-6112(928) 722-6113 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2024, Nov 8, 2016 (2 updates tracked since 2016).

About Victoria Lasala M.d. NPPES

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

VICTORIA LASALA M.D. (NPI 1528500576) is an individual pediatrics provider in San Luis, Arizona, licensed in Arizona (18634) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528500576
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVICTORIA LASALACredential: M.D.
Location Address1896 E BABBITT LNSan Luis, AZ 85349
Mailing AddressPo Box 617Somerton, AZ 85350-0617 · (928) 662-0406
Phone(928) 722-6112
Fax(928) 722-6113
Sole ProprietorNo
Enumeration DateNovember 8, 2016
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1528500576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 18634
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1896 E BABBITT LN, San Luis, AZ 85349
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Lasala M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85349 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHANIEL SPENCER HARRIMAN M.S.S., PA-C
Physician Assistant (Medical)
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
MS. ADLENE JOSEPH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
REGIONAL CENTER FOR BORDER HEALTH, INC MOBILE UNIT
Counselor (Mental Health)
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
MR. ADRIAN GUTIERREZ FNP-BC
Nurse Practitioner
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
EDGAR MAYORQUIN NP
Nurse Practitioner
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
REGIONAL CENTER FOR BORDER HEALTH, INC.
Counselor (Mental Health)
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
DR. LEONARDO RODRIGUEZ M.D.
Pediatrics
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112
MRS. GWENDOLYN TERRAZAS FNP
Nurse Practitioner
1896 E BABBITT LN
SAN LUIS, AZ 85349
Yuma County (928) 722-6112

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 Victoria Lasala's NPI number?

The NPI number for Victoria Lasala is 1528500576. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Where is Victoria Lasala located?

Victoria Lasala practices at 1896 E Babbitt Ln, San Luis, AZ 85349. The listed phone number is (928) 722-6112.

What is Victoria Lasala's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Victoria Lasala enrolled in Medicare?

Yes. Victoria Lasala is registered in the Medicare PECOS enrollment system.

What insurance does Victoria Lasala accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Victoria Lasala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Lasala was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.