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BREANNA BELLE SO LAO MD
NPI 1669091393
Pediatrics in Escondido, CA

Active since April 13, 2020PECOS Enrolled
732 N BROADWAY, ESCONDIDO, CA 92025(833) 574-2273 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Breanna Belle So Lao Md NPPES

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

BREANNA BELLE SO LAO MD (NPI 1669091393) is an individual pediatrics provider in Escondido, California, licensed in California (A194151) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669091393
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBREANNA BELLE SO LAOCredential: MD
Location Address732 N BROADWAYEscondido, CA 92025-1870
Mailing Address732 N BroadwayEscondido, CA 92025-1870 · (833) 574-2273
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateApril 13, 2020
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1669091393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A194151
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.
732 N BROADWAY, Escondido, CA 92025
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Belle So Lao Md 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 Breanna Belle Lao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
23 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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 92025 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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 12

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

MONTE R KLAUDT MD
Pediatrics
732 N BROADWAY, PEDIATRICS
ESCONDIDO, CA 92025
San Diego County (800) 290-5000
DR. ERIC GORDON POTWARDOWSKI D.O.
Family Medicine
732 N BROADWAY
ESCONDIDO, CA 92025
San Diego County (800) 290-5000
GLORIA GUTIERREZ M.D.
Family Medicine
732 N BROADWAY, KAISER PERMANENTE
ESCONDIDO, CA 92025
San Diego County (760) 839-7242
DR. CANDACE I. SPROTT MD
Internal Medicine
732 N BROADWAY, 2ND FLOOR PRIMARY CARE
ESCONDIDO, CA 92025
San Diego County (760) 839-7100
AME ERIBERTA SANDOVAL
Pharmacist
732 N BROADWAY
ESCONDIDO, CA 92025
San Diego County (760) 839-7032
KATHERINE O JANETZKY PHARM.D.
Pharmacist
732 N BROADWAY
ESCONDIDO, CA 92025
San Diego County (760) 839-7032
DR. OLUWAFUNBI IDOWU AWONIYI MD
Internal Medicine
732 N BROADWAY
ESCONDIDO, CA 92025
San Diego County (858) 574-2273
MRS. CATHERINE LYNN ANDERSON RPH
Pharmacist
732 N BROADWAY
ESCONDIDO, CA 92025
San Diego County (760) 839-7032

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 Breanna Belle Lao's NPI number?

The NPI number for Breanna Belle Lao is 1669091393. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Breanna Belle Lao located?

Breanna Belle Lao practices at 732 N Broadway, Escondido, CA 92025. The listed phone number is (833) 574-2273.

What is Breanna Belle Lao's specialty?

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

Is Breanna Belle Lao enrolled in Medicare?

Yes. Breanna Belle Lao is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Breanna Belle Lao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Belle Lao reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Breanna Belle Lao'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 Breanna Belle Lao was last updated on October 15, 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.