NPIMap

Individual provider Active NPI

Eduardo Lacalle, MD

  • Emergency Medicine Physician
  • Emeryville, CA
National Provider Identifier
1336378199
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18380 Issued in NV
Practice address
2100 Powell St
Emeryville, CA 94608-1826
Phone
(510) 350-2777
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 18380 NV Primary

Addresses

Primary practice location

2100 Powell St
Emeryville, CA 94608-1826

Mailing address

840 S Rancho Dr # 4-251
Las Vegas, NV 89106-3837

Other practice location 1

1 Gustave Levy Pl
New York, NY 10029
Phone (212) 241-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130729000769 CA Practitioner - Emergency Medicine 1456592716 Reassigns benefits to 1 organization
I20190129001252 NV Practitioner - Emergency Medicine 1456592716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Icahn School of Medicine at Mount Sinai, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Nevada Medical Services Koury and Partners PCGroup PAC ID 2163968603, 64 clinicians

Practice addresses (Care Compare)

102 E Lake Mead Pkwy
Henderson, NV 89015-5575
Phone (702) 616-4600

Hospital & facility affiliations

  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045
  • Saint Rose Dominican Hospitals - North Las Vegas Hospital, North Las Vegas, NV, CCN 290058
  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053
  • Saint Rose Dominican Hospitals - Rose de Lima Hospital, Henderson, NV, CCN 290012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18380NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Nevada Medical Services Koury & Partners PC Single Specialty Current Accepting new patients
Fremont Emergency Services Scherr LTD Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Vegas Visiting Physicians Associates Single Specialty CurrentSince Aug 27, 2021 Accepting new patients
Cep America - California Single Specialty Current Accepting new patients
Fremont Emergency Services Scherr LTD Single Specialty Current Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Fremont Emergency Services Scherr LTD Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Fremont Emergency Services Scherr LTD Single Specialty Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

5765 S Rainbow Blvd
Ste 111
Las Vegas, NV 89118
Phone (702) 853-9063

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1336378199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR # 4-251",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10029",
            "country_code": "US",
            "telephone_number": "212-241-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACALLE",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "18380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.