SIOTAME LASITANI
NPI 1841930005
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Siotame Lasitani NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIOTAME LASITANI (NPI 1841930005) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siotame Lasitani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Siotame Lasitani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90035
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Siotame Lasitani MD Inc
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
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 Siotame Lasitani's NPI number?
The NPI number for Siotame Lasitani is 1841930005. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Siotame Lasitani located?
Siotame Lasitani practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Siotame Lasitani's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Siotame Lasitani enrolled in Medicare?
Yes. Siotame Lasitani is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Siotame Lasitani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Siotame Lasitani reassigns Medicare benefits to Siotame Lasitani, M.D., Inc. (Los Angeles, 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 Siotame Lasitani'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 Siotame Lasitani was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Siotame Lasitani · NPI 1841930005
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1841930005 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11301 WILSHIRE BLVD, Los Angeles, CA 90073-1003
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Siotame Lasitani, M.D., Inc. (NPI 1487579041, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** March 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1841930005) · Data from the CMS NPPES public registry.