Individual provider Active NPI

Victoria Lynne Falasco, PA-C

  • Physician Assistant
  • Poway, CA
National Provider Identifier
1194483644
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60230 Issued in CA
Practice address
15725 Pomerado Rd Ste 201
Poway, CA 92064-2058
Phone
(760) 610-0522
Fax
(760) 610-0523
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60230 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 201
Poway, CA 92064-2058

Mailing address

15725 Pomerado Rd Ste 201
Poway, CA 92064-2058
Phone (760) 610-0522

Other practice location 1

637 E Grand Ave
Escondido, CA 92025-4402
Phone (760) 610-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209002019 CA Practitioner - Physician Assistant 9234522533 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60230CAMDOncology Pharmacist
PA60230CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Dobecki, Medical Doctor, Incorporated CurrentSince Dec 20, 2021 Accepting new patients
Balboa Surgical Institute, Inc. PastSince Dec 1, 2021 Accepting new patients

Locations

7625 Mesa College Dr
Ste 315A
San Diego, CA 92111
Phone (858) 576-1011

5395 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (619) 688-7800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1194483644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "760-610-0522",
            "fax_number": "760-610-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 201",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642058",
            "telephone_number": "760-610-0522",
            "fax_number": "760-610-0523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254402",
            "country_code": "US",
            "telephone_number": "760-610-0522",
            "fax_number": "760-610-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALASCO",
        "first_name": "VICTORIA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.