ELICIA GUADALUPE LASTRA
NPI 1659268639
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since June 21, 2025
480 ALTA RD, SAN DIEGO, CA 92179(619) 661-6500 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elicia Guadalupe Lastra NPPES

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

ELICIA GUADALUPE LASTRA (NPI 1659268639) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1659268639
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELICIA GUADALUPE LASTRA
Location Address480 ALTA RDSan Diego, CA 92179-0001
Mailing Address480 Alta RdSan Diego, CA 92179-0001
Sole ProprietorNo
Enumeration DateJune 21, 2025
NPPES CertifiedJune 13, 2025
NPI 1659268639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
480 ALTA RD, San Diego, CA 92179

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.

Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Pharmacist
480 ALTA RD
SAN DIEGO, CA 92179
Social Worker (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179
Psychologist (Clinical)
480 ALTA RD
SAN DIEGO, CA 92179

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 Elicia Lastra's NPI number?

The NPI number for Elicia Lastra is 1659268639. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Where is Elicia Lastra located?

Elicia Lastra practices at 480 Alta Rd, San Diego, CA 92179. The listed phone number is (619) 661-6500.

What is Elicia Lastra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elicia Lastra was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.