Fidel M Lara Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69653 Issued in CA

Practice address

8033 Vineland Avenue
Lara Medical Clinic
Sun Valley, CA 91352-3951

Phone

(818) 767-1001

Fax

(818) 767-1991

NPI assigned

Dec 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Southern California Keck School of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Aande Medical Group-a Professional Nursing CorporationGroup PAC ID 7719388230, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Quantum Home Health Services Inc Home health agency, Glendale, CA, CCN 559219
• Signature Home Health Care Services, Inc Home health agency, Los Angeles, CA, CCN 559745
• Yaned Home Health Services Home health agency, Valley Village, CA, CCN 757670
• Arka Home Health Services Home health agency, Valley Village, CA, CCN 753176
• MD Home Health Care Services, Inc. Home health agency, Van Nuys, CA, CCN 757360
• Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378
• Country Manor Healthcare Nursing home, Lake View Terrace, CA, CCN 055002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: fidel.larajr.p25@direct.regal.nextgenshare.com

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.

• A&E Medical Group-a Professional Nursing Corporation

  • Family Nurse Practitioner
  • Glendale, CA
  • NPI 1306424502
  Medicare reassignment Care Compare group NPD
• Lara Medical Corporation

  • Internal Medicine Physician
  • Sun Valley, CA
  • NPI 1508924788
  Medicare reassignment NPD Authorized official
• Legacy Marketing Worldwide Inc.

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1336505197
  Medicare reassignment NPD
• Paramount Healthcare - a Professional Nursing Corporation

  • Adult Health Nurse Practitioner
  • Glendale, CA
  • NPI 1588542427
  NPD
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Deanco Healthcare LLC.

  • Psychiatric Hospital Unit
  • Panorama City, CA
  • NPI 1013061597
  NPD (past)
• Lara Pharmacy Corporation

  • Community/Retail Pharmacy
  • Sun Valley, CA
  • NPI 1114085388
  NPD (past)
• Pacifica of the Valley Corporation

  • Pharmacy
  • Sun Valley, CA
  • NPI 1700963790
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arka Home Health Services

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1982219150
  Care Compare affiliation
• Canyon Properties III, LLC

  • Skilled Nursing Facility
  • Lake View Terrace, CA
  • NPI 1790766376

  Nursing home

  Care Compare affiliation
• MD Home Health Care Services Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1144817750
  Care Compare affiliation
• Pacifica of the Valley Corporation

  • General Acute Care Hospital
  • Sun Valley, CA
  • NPI 1548328750
  Care Compare affiliation
• Quantum Home Health Services, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1225499742
  Care Compare affiliation
• Signature Home Health Care Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1497128300
  Care Compare affiliation
• Yaned Home Health Services

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1588315592
  Care Compare affiliation

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1194909481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 VINELAND AVENUE",
            "address_2": "LARA MEDICAL CLINIC",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523951",
            "telephone_number": "818-767-1001",
            "fax_number": "818-767-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8033 VINELAND AVENUE",
            "address_2": "LARA MEDICAL CLINIC",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523951",
            "telephone_number": "818-767-1001",
            "fax_number": "818-767-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "FIDEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A696530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Tuna Home
• La United Home Health Care Inc
• Brittney Langworthy
• Lara Medical Corporation
• Lara Pharmacy Corporation
• Laurel Canyon Dialysis, LLC
• Laurel Canyon Medical Equipment, Inc.
• Shaema Lynn Lavoie
• Eunjoo Lee, FNP & L.AC
• Kerri Davidove Lee, OD

• Internal Medicine Physician in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.

Verify at the official NPI Registry.