Active NPI
Shellee Rae Lazar, M.D.
- Obstetrics & Gynecology Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A66921
- Practice address
- 350 Terracina Blvd
Redlands, CA 92373-4850 - Phone
- (909) 335-5616
- Fax
- (909) 307-7518
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | A66921 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A66921 | CA | Primary |
Addresses
Primary practice location
350 Terracina Blvd
Redlands, CA 92373-4850
Mailing address
PO Box 9595
Redlands, CA 92375-2795
Phone (909) 335-5616
Other practice location 1
25485 Medical Center Dr Ste 100
Murrieta, CA 92562-6927
Phone (951) 683-6370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A669210 | Medicaid | CA | |
| 1467402149 | Medicaid | CA |
Other names 1
- Shellee Rae Miyasato
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5615
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shellee Lazar MD Apc | Multi-Specialty | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc. | Multi-Specialty | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc. | Multi-Specialty | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc | Multi-Specialty | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Multi-Specialty | Current | Accepting new patients |
| Apex Healthcare Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| Apex Healthcare Medical Center Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Multi-Specialty | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Multi-Specialty | Current | Accepting new patients |
Locations
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
1515 W Florida Ave
Hemet, CA 92543
Phone (951) 929-1333
41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700
1225 E Latham Ave
Ste A
Hemet, CA 92543
Phone (909) 652-8700
25485 Medical Center Dr
Ste 100
Murrieta, CA 92562
Phone (909) 461-8684
25485 Medical Center Dr
Murrieta, CA 92562
Phone (951) 461-9300
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Organizations & group practices 10
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.
-
dba Riverside Medical Clinic
- Dermatology Physician
- Riverside, CA
- NPI 1720183403
Multi-Specialty
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Redlands, CA
- NPI 1255171864
Multi-Specialty
-
dba Access First Urgent CAre
- Specialist
- Hemet, CA
- NPI 1447455423
Multi-Specialty
-
dba San Manuel Indian Health
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
Multi-Specialty, TX
-
dba Apex OB/GYN
- Obstetrics & Gynecology Physician
- Hemet, CA
- NPI 1053680181
-
dba Riverside Medical Clinic
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
Multi-Specialty
-
dba Riverside Medical Clinic
- Family Medicine Physician
- Eastvale, CA
- NPI 1972845535
Multi-Specialty
-
dba Santa Rosa Indian Health Clinic
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
Multi-Specialty
-
dba Anza Indian Health
- Federally Qualified Health Center (FQHC)
- Anza, CA
- NPI 1659424885
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1093806382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9595",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923752795",
"telephone_number": "909-335-5616",
"fax_number": "909-307-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734850",
"telephone_number": "909-335-5616",
"fax_number": "909-307-7518"
}
],
"practiceLocations": [
{
"address_1": "25485 Medical Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Murrieta",
"state": "CA",
"postal_code": "925626927",
"country_code": "US",
"telephone_number": "951-683-6370",
"fax_number": "951-248-6735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAZAR",
"first_name": "SHELLEE",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "CA",
"license": "A66921",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A66921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A669210",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467402149",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEE",
"last_name": "MIYASATO",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.