Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Jean Dasilva

Individual provider Pediatrics Physician · NPI 1548897119

Audrey Jean Dasilva is a Pediatrics Physician in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

2201 S Ave
South Lake Tahoe, CA 96150-7025
Phone: (530) 543-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A182796 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence PTL3653 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548897119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

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