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

Q: 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.

Q: What is Victoria Lasala's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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 Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Victoria Lasala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Luis Walk-In Clinic, Inc.

Same address

Rural Health

1896 E BABBIT LN
San Luis, AZ 85336

Reassigned Medicare billing, Arizona enrollment
89 clinicians in this Medicare group

NPI 1104228337 (928) 722-6112

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)