Active NPI
Teresa M. Lacaria, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
National Provider Identifier
1295976520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A103615
- Practice address
- 10833 Le Conte Ave
David Geffen School of Medicine, UCLA
Los Angeles, CA 90095-3075 - Phone
- (310) 825-5719
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A103615 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
David Geffen School of Medicine, UCLA
Los Angeles, CA 90095-3075
Mailing address
10833 Le Conte Ave, 13-145G CHS
David Geffen School of Medicine, UCLA
Los Angeles, CA 90095-1732
Phone (310) 825-5719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103615 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California, Los Angeles | Past | Accepting new patients | |
| UCLA Pathology Residency Program | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Los Angeles, CA
- NPI 1548678360
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1811255409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1295976520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE, 13-145G CHS",
"address_2": "DAVID GEFFEN SCHOOL OF MEDICINE, UCLA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951732",
"telephone_number": "310-825-5719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "DAVID GEFFEN SCHOOL OF MEDICINE, UCLA",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-825-5719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACARIA",
"first_name": "TERESA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A103615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.