Active NPI
James Richard Larose, DPM
- Podiatrist
- Upland, CA
National Provider Identifier
1043391584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1467
- Practice address
- 1060 N 13TH Ave
Upland, CA 91786-3785 - Phone
- (909) 985-2555
- Fax
- (909) 985-0068
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1467 | CA | Primary |
Addresses
Primary practice location
1060 N 13TH Ave
Upland, CA 91786-3785
Mailing address
1060 N 13TH Ave
Upland, CA 91786-3402
Phone (909) 985-2555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480029125 | Other | CA | MEDICARE RAILROAD |
| ZZZ80594Z | Medicaid | CA | |
| 6501520001 | Other | CA | MEDICARE NSC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Past | Accepting new patients | |
| Chino Medical Group, Inc | Past | Accepting new patients |
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.
-
- Health Maintenance Organization
- Chino, CA
- NPI 1790730786
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1043391584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 N 13TH AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863402",
"telephone_number": "909-985-2555",
"fax_number": "909-985-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 N 13TH AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863785",
"telephone_number": "909-985-2555",
"fax_number": "909-985-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "JAMES",
"middle_name": "RICHARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480029125",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ80594Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "6501520001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.