Active NPI
Dillian La Salle, M.D.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25273
- Practice address
- 1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006-2609 - Phone
- (602) 251-3122
- Fax
- (602) 254-1226
- NPI assigned
- Jun 23, 2006
- Last updated
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25273 | AZ | Primary |
Addresses
Primary practice location
1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006-2609
Mailing address
1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006-2609
Phone (602) 251-3122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381624 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 E McDowell Rd
Suite 300
Phoenix, AZ 85006-2609
Phone (602) 251-3122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Advanced Nuclear Cardiology PLLC | Current | Accepting new patients | |
| M Zuhdi Jasser MD PC | Internal Medicine | Current | Accepting new patients |
| Luzato Medical Group P.C. | Internal Medicine | Past | Accepting new patients |
| Luzato Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300
1010 E McDowell Rd
Ste 300
Phoenix, AZ 85006
Phone (602) 251-3122
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCDCDA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1932290897
-
- Nuclear Cardiology Physician
- Phoenix, AZ
- NPI 1821189796
-
dba CIGNA Medical Group - Sun City West, Sun City West
- Multi-Specialty Clinic/Center
- Surprise, AZ
- NPI 1033280698
-
dba EVERNORTH Care Group
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
dba Arrowhead Ranch Medical Office; Arrowhead Ranch
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1730417676
-
dba College Point Medical Group
- Gastroenterology Physician
- College Point, NY
- NPI 1164576385
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1659307569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E MCDOWELL RD",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062609",
"telephone_number": "602-251-3122",
"fax_number": "602-254-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E MCDOWELL RD",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062609",
"telephone_number": "602-251-3122",
"fax_number": "602-254-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA SALLE",
"first_name": "DILLIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "25273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381624",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.