Frederic Lastar

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

133373 Issued in CA

Practice address

4144 Kenway Ave
View Park, CA 90008-4810

Phone

(888) 557-7217

Fax

(888) 739-6925

NPI assigned

Apr 13, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Igntd, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • View Park, CA
  • NPI 1235854886
  NPD

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1407542376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 KENWAY AVE",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900084810",
            "telephone_number": "888-557-7217",
            "fax_number": "888-739-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 KENWAY AVE",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900084810",
            "telephone_number": "888-557-7217",
            "fax_number": "888-739-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTAR",
        "first_name": "FREDERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "133373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Kim
• La Global Care
• Fatina Lagway
• Bruce Lainez, LVN
• Melinda Nance Larson, LCSW
• Elysia Leassear
• Guiqing Liang
• Andrea Clarissia Major, B.A.
• Allison Martin
• Maria A Martinez Caballero

• Addiction (Substance Use Disorder) Counselor in View Park, CA
• Providers in View Park, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.