Individual provider Active NPI

Lawrence Adam Delasotta, MD, MPH

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1487935748
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A153479 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103
Phone
(619) 543-2218
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A153479 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20180417002174 CA Practitioner - Diagnostic Radiology 6103189576 Reassigns benefits to 3 organizations
I20200821002442 AZ Practitioner - Diagnostic Radiology 6103189576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Southwest Diagnostic Imaging LLCGroup PAC ID 7416946199, 121 clinicians

Practice addresses (Care Compare)

10230 W Happy Valley Pkwy
Suite 100
Peoria, AZ 85383-4255
Phone (832) 915-2534

1515 E Bethany Home Rd
Phoenix, AZ 85014-2495
Phone (832) 915-2534

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (832) 915-2534

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (832) 915-2534

33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone (832) 915-2534

3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7002
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (832) 915-2534

7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (832) 915-2534

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (832) 915-2534

9220 E Mountain View Rd
Suite 100
Scottsdale, AZ 85258-5134
Phone (480) 425-5000

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153479CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jun 27, 2020 Accepting new patients
Southwest Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Jul 17, 2020 Accepting new patients
UC San Diego Health Community Group CurrentSince Jan 14, 2019 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Mar 12, 2018 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jun 25, 2018 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Jun 25, 2018 Accepting new patients

Locations (25 of 40)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

16838 E Palisades Blvd
Ste C151
Fountain Hills, AZ 85268

3645 S Rome St
Ste 101
Gilbert, AZ 85297

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699

2323 W Rose Garden Ln
Phoenix, AZ 85027
Phone (623) 931-7999

20940 N Tatum Blvd
Ste 390
Phoenix, AZ 85050
Phone (480) 407-0060

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2222 E Highland Ave
Ste 120
Phoenix, AZ 85016
Phone (602) 977-1177

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

1515 E Bethany Home Rd
Phoenix, AZ 85014
Phone (602) 812-3080

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

3621 N Wells Fargo Ave
Ste Radiology
Scottsdale, AZ 85251

10290 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 583-8120

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

20401 N 73rd St
Ste 145
Scottsdale, AZ 85255

Organizations & group practices 7

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 5

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1487935748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-543-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELASOTTA",
        "first_name": "LAWRENCE",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A153479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.