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HEIDI LA BASH PHD
NPI 1629810197
Psychologist - Clinical in San Diego, CA

Active since June 06, 2024PECOS Enrolled
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE (RESEARCH SERVICE), SAN DIEGO, CA 92161(617) 877-2960 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heidi La Bash Phd NPPES

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

HEIDI LA BASH PHD (NPI 1629810197) is an individual clinical provider in San Diego, California, licensed in California (PSY32021) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629810197
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameHEIDI LA BASHCredential: PHD
Location AddressVA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE (RESEARCH SERVICE)San Diego, CA 92161
Mailing AddressVa San Diego Healthcare System, 3350 La Jolla Village Drive (research Service)San Diego, CA 92161 · (617) 877-2960
Phone(617) 877-2960
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1629810197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY32021
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
VA SAN DIEGO HEALTHCARE SYSTEM, San Diego, CA 92161
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Other Identifiers 1

OtherPSY32021CA · California Board Of Psychology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi La Bash Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103384656
PECOS Enrollment IDI20260815000049
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 Heidi La Bash reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
409 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 92161 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
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.

DR. KELLEY LYNN HAGERICH M.D., MPH
Internal Medicine
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
DR. RYAN SCOTT TRIM PH.D.
Psychologist (Clinical)
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE (116B)
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
MR. DANIEL VINCENT KNOERL CRNA
Nurse Anesthetist, Certified Registered
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (858) 642-3300
LYNN MA
Optometrist
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
LISA LIN M.D.
Physical Medicine & Rehabilitation
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE (117)
SAN DIEGO, CA 92161
San Diego County (858) 552-8585
MARY ALICE LACY MSN,FNP
Nurse Practitioner (Family)
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DRIVE, MC-118
SAN DIEGO, CA 92161
San Diego County (858) 642-1085
JAMES LEWIS BARRETT CRNA
Nurse Anesthetist, Certified Registered
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (858) 642-3300
MR. JEFFREY L. JOHNSON CRNA
Nurse Anesthetist, Certified Registered
VA SAN DIEGO HEALTHCARE SYSTEM, 3350 LA JOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (858) 642-3300

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 Heidi La Bash's NPI number?

The NPI number for Heidi La Bash is 1629810197. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Heidi La Bash located?

Heidi La Bash practices at VA San Diego Healthcare System 3350 La Jolla Village Drive (research Service), San Diego, CA 92161. The listed phone number is (617) 877-2960.

What is Heidi La Bash's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Heidi La Bash enrolled in Medicare?

Yes. Heidi La Bash is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi La Bash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi La Bash reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Heidi La Bash'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 Heidi La Bash was last updated on June 6, 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.