Lord Christopher Bagacina Larcena

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

038246-1 Issued in NY

Practice address

212 W Garfield Ave Apt 108
Glendale, CA 91204-2146

Phone

(818) 296-5119

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Genesis Medical Health PC

  • General Practice Physician
  • Spring Valley, NY
  • NPI 1295043099

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1265932180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W GARFIELD AVE APT 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042146",
            "telephone_number": "818-296-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W GARFIELD AVE APT 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042146",
            "telephone_number": "818-296-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARCENA",
        "first_name": "LORD CHRISTOPHER",
        "middle_name": "BAGACINA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "038246-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lani de Guzman
• Selena Anne Lantry, M.D,
• Helem Lapitan
• Gregory Gerard Lara, M.D.
• Suani Z Lara, D.C.
• Larco Hospice Care Inc.
• Gabriel Larrea
• Leslie Ann Larson, PH.D.
• Coralie Lasalle, LCSW
• Jared Lasky

• Physical Medicine & Rehabilitation Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.