Individual provider Active NPI

Laura Wakil, MD

  • Psychiatry Physician
  • Carlsbad, CA
National Provider Identifier
1619102399
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A125395 Issued in CA
Practice address
2966 Las Olas CT
Carlsbad, CA 92009-9534
Phone
(415) 722-8377
Fax
(585) 523-1037
NPI assigned
May 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A125395 CA Primary

Addresses

Primary practice location

2966 Las Olas CT
Carlsbad, CA 92009-9534

Mailing address

2966 Las Olas CT
Carlsbad, CA 92009-9534
Phone (415) 722-8377

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131112000859 CA Practitioner - Psychiatry 1759517212 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125395CAMDMarriage & Family Therapist
A125395CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Psychiatry CurrentSince Jul 18, 2015 Accepting new patients
Regents of the University of California CurrentSince Jul 18, 2015 Accepting new patients
Sokyahealth Medical Group PC Psychiatry CurrentSince Feb 7, 2024 Accepting new patients
Shashita Inamdar MD Professional Corporation Psychiatry Past Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

File 57326
Los Angeles, CA 90074

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • Direct secure messaging: laura.wakil.p1@direct.sokya.nextgenshare.com

Organizations & group practices 4

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": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1619102399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 LAS OLAS CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920099534",
            "telephone_number": "415-722-8377",
            "fax_number": "585-523-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2966 LAS OLAS CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920099534",
            "telephone_number": "415-722-8377",
            "fax_number": "585-523-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKIL",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A125395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.