Individual provider Active NPI

Laila Rasul

  • Otolaryngology Physician
  • Chula Vista, CA
National Provider Identifier
1881190767
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A184970 Issued in CA
Practice address
321 E St
Chula Vista, CA 91910-2667
Phone
(619) 934-3260
Fax
(619) 934-3268
NPI assigned
Apr 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A184970 CA Primary

Addresses

Primary practice location

321 E St
Chula Vista, CA 91910-2667

Mailing address

321 E St
Chula Vista, CA 91910-2667
Phone (619) 934-3260

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
I20230925000811 CA Practitioner - Otolaryngology 6305290461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

321 E St
Suite a
Chula Vista, CA 91910-2667
Phone (619) 934-3260

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184970CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Dec 13, 2023 Accepting new patients
Head and Neck Surgery Specialists, a Professional Corporation Otolaryngology CurrentSince Aug 1, 2023 Accepting new patients
Scripps Health Past Accepting new patients

Locations

321 E St
Chula Vista, CA 91910
Phone (619) 422-0404

321 E St
Ste A
Chula Vista, CA 91910
Phone (619) 934-3260

2168 Balboa Ave
San Diego, CA 92109
Phone (858) 454-0685

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: laila.siddique@3164.securemail.prognocis.com

Organizations & group practices 3

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 1

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": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1881190767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102667",
            "telephone_number": "619-934-3260",
            "fax_number": "619-934-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102667",
            "telephone_number": "619-934-3260",
            "fax_number": "619-934-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASUL",
        "first_name": "LAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A184970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.