Individual provider Active NPI

Laura Lisa Ceballos, M.D.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1275724841
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C198539 Issued in CA
Practice address
1809 National Ave
San Diego, CA 92113-2113
Phone
(619) 515-2300
Fax
(619) 269-0590
NPI assigned
Aug 7, 2007
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C198539 CA Primary
Obstetrics & Gynecology Physician 207V00000X M8580 TX

Addresses

Primary practice location

1809 National Ave
San Diego, CA 92113-2113

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090501000312 TX Practitioner - Obstetrics/Gynecology 2264580109 Reassigns benefits to 4 organizations
I20250307003414 CA Practitioner - Obstetrics/Gynecology 2264580109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C198539CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Women's Center, P.a Obstetrics & Gynecology CurrentSince Dec 12, 2024 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Dagoberto Martinez, Mdpa Obstetrics & Gynecology CurrentSince May 1, 2009 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Hendrick Provider Network CurrentSince Nov 1, 2021 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 1, 2025 Accepting new patients
Hendrick Provider Network Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Dec 8, 2025 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince May 1, 2025 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1924 Pine St
Ste 401A
Abilene, TX 79601
Phone (325) 670-4000

1076 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 544-2001

3855 Southmost Rd
Brownsville, TX 78521
Phone (956) 544-2001

95 E Price Rd
Bldg A
Brownsville, TX 78521
Phone (956) 504-6080

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

405 N Tom Green Ave
Odessa, TX 79761
Phone (432) 580-8976

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1275724841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2300",
            "fax_number": "619-269-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NATIONAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132113",
            "telephone_number": "619-515-2300",
            "fax_number": "619-269-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "LAURA",
        "middle_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C198539",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M8580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.