Individual provider Active NPI

Lara Kristin Edinger, DO

  • Interventional Pain Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1053645887
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A14194 Issued in CA
Practice address
10921 Wilshire Blvd Ste 1109
Los Angeles, CA 90024-4005
Phone
(424) 273-4662
Fax
(310) 861-1358
NPI assigned
Sep 26, 2009
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A14194 CA
Interventional Pain Medicine Physician 208VP0014X 20A14194 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd Ste 1109
Los Angeles, CA 90024-4005

Mailing address

10921 Wilshire Blvd Ste 1109
Los Angeles, CA 90024-4005
Phone (484) 343-8134

Other practice location 1

300 Ucla Medical Plz
Suite B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195

Other identifiers 1

IdentifierTypeStateIssuer
CB266766MedicaidCA

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
I20160311000404 CA Practitioner - NeurologyPractitioner - Osteopathic Manipulative MedicinePractitioner - Orthopedic SurgeryPractitioner - PsychiatryPractitioner - Pain ManagementPractitioner - NeuropsychiatryPractitioner - Interventional Pain Management 2567699788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10921 Wilshire Blvd
Suite 1109
Los Angeles, CA 90024-4005
Phone (424) 273-4662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14194CAMDOptometrist
20A14194CAMDNeurology Physician

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1053645887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244005",
            "telephone_number": "484-343-8134",
            "fax_number": "310-861-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD STE 1109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244005",
            "telephone_number": "424-273-4662",
            "fax_number": "310-861-1358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ucla Medical Plz",
            "address_2": "Suite B200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900950001",
            "country_code": "US",
            "telephone_number": "310-794-1195",
            "fax_number": "310-301-8751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDINGER",
        "first_name": "LARA",
        "middle_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-26",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A14194",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A14194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB266766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.