Individual provider Active NPI

Gisselle Lara, FNP

  • Family Nurse Practitioner
  • Bellflower, CA
National Provider Identifier
1417656992
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022684 Issued in CA
Practice address
10251 Artesia Blvd
Bellflower, CA 90706-6719
Phone
(562) 867-8681
Fax
(562) 866-5198
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022684 CA Primary

Addresses

Primary practice location

10251 Artesia Blvd
Bellflower, CA 90706-6719

Mailing address

234 E Badillo St
Covina, CA 91723-2115
Phone (626) 915-9992

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626001332 CA Practitioner - Nurse Practitioner 2365800257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12214 Lakewood Blvd
Suite 110
Downey, CA 90242-2663
Phone (562) 904-4430

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

6557 Greenleaf Ave
Whittier, CA 90601-4108

Hospital & facility affiliations

  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Gabriel Castellanos, MD, Inc. CurrentSince Mar 17, 2023 Accepting new patients
Jose Gabriel Castellanos, MD, Inc. CurrentSince Mar 17, 2023 Accepting new patients
Pih Health Physicians CurrentSince Jul 16, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients

Locations

10251 Artesia Blvd
Bellflower, CA 90706
Phone (562) 229-9452

234 E Badillo St
Covina, CA 91723
Phone (626) 915-9992

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gissellelara@pihh.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1417656992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232115",
            "telephone_number": "626-915-9992",
            "fax_number": "626-410-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 ARTESIA BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066719",
            "telephone_number": "562-867-8681",
            "fax_number": "562-866-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "GISSELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.