Active NPI
Bell Clinica Familiar Medical Corporation
- Internal Medicine Physician
- Bell, CA
National Provider Identifier
1457542995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A51277
- Legal business name
- BELL CLINICA FAMILIAR MEDICAL CORPORATION
- Practice address
- 4670 E. Gage Ave
Bell, CA 90201-1360 - Phone
- (323) 562-3135
- Fax
- (323) 562-1879
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose M Lara, M.D.
- Title
- Owner
- Phone
- (323) 562-3135
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A51277 | CA | Primary |
Addresses
Primary practice location
4670 E. Gage Ave
Bell, CA 90201-1360
Mailing address
4670 E. Gage Ave
Bell, CA 90201-1360
Phone (323) 562-3135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040414001874 | CA | Part B Supplier - Clinic/Group Practice | 9436144060 |
Receives reassigned benefits from 3 practitioners Practice locations: Bell, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0906477 | Bell Clinica Familiar | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474416000000",
"number": "1457542995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4670 E. GAGE AVE",
"city": "BELL",
"state": "CA",
"postal_code": "902011360",
"telephone_number": "323-562-3135",
"fax_number": "323-375-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 E. GAGE AVE",
"city": "BELL",
"state": "CA",
"postal_code": "902011360",
"telephone_number": "323-562-3135",
"fax_number": "323-562-1879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELL CLINICA FAMILIAR MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2016-09-21",
"status": "A",
"authorized_official_last_name": "LARA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-562-3135",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A51277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.