Angel Lara

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2400 W Valley Pkwy SPC 42
Escondido, CA 92029-4029

Phone

(707) 400-3270

NPI assigned

Aug 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1174307979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W VALLEY PKWY SPC 42",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294029",
            "telephone_number": "707-400-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W VALLEY PKWY SPC 42",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294029",
            "telephone_number": "707-400-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Langlois, R.D.
• Sirrah Lankford
• Breanna Belle So Lao, MD
• Shentelyn Guiniling Lao, ASW, CADC-III
• Heather Lapadura, OTR/L
• Daisy Arroyo Lara, PPS
• Aida Olivia Lares
• Philip Edward Larkins, D.P.M.
• Annalisa Larm, RD
• Las Palmas Medical Group (Valley Immediate Care)

• Student in an Organized Health Care Education/Training Program in Escondido, CA
• Providers in Escondido, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.