James M Lally, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6259 Issued in CA

Practice address

13193 Central Ave
Ste. 100
Chino, CA 91710-4179

Phone

(909) 464-9675

Fax

(909) 590-3898

NPI assigned

Jul 18, 2005

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

Family Practice

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Group practices

Health Service AllianceGroup PAC ID 4587642467, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: james.lally@health.eclinicaldirectplus.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Health Service Alliance

  • Psychologist
  • Claremont, CA
  • NPI 1720675986

  Corporate Officer

  CMS ownership
• Health Service Alliance

  • Family Medicine Physician
  • Chino, CA
  • NPI 1801307368

  Corporate Officer

  CMS ownership

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.

• Health Service Alliance

  • Family Medicine Physician
  • Chino, CA
  • NPI 1801307368
  Medicare reassignment Care Compare group NPD Authorized official
• Health Service Alliance

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1689492167
  NPD
• Chino Emergency Medical Associates

  • Emergency Medicine Physician
  • Chino, CA
  • NPI 1720028525
  NPD (past)
• Foothills Psychological Services, Inc.

  • Psychologist
  • Upland, CA
  • NPI 1336121888
  NPD (past)
• Montclair Emergency Medical Associates

  • Emergency Medicine Physician
  • Montclair, CA
  • NPI 1316044696
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1285633867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE",
            "address_2": "STE. 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-464-9675",
            "fax_number": "909-590-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE",
            "address_2": "STE. 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-464-9675",
            "fax_number": "909-590-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285633867",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacare Transport Inc
• Chloe Catherine Coo Lacson, RDH, RDHAP, DDS
• Gary T. Lai, M.D.
• Kristy Lai
• Paul Pao-Chien Lai, D.O.
• Melanie Guadalupe Lambourg, LM, CPM
• Jesse Tabisula Lamog, DPT
• Marcelino Dellopac Latina, DO
• Mara Gwynne Latts, PHD
• Teresa Layman, M.S. CCC-SLP

• Family Medicine Physician in Chino, CA
• Providers in Chino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.