Organization Active NPI

Bell Clinica Familiar Medical Corporation

  • Internal Medicine Physician
  • Bell, CA
National Provider Identifier
1457542995
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51277 Issued in CA
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

Updated by the provider on Sep 21, 2016

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.NPI 1801935622
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0906477Bell Clinica Familiar4670 E Gage Avenue, Bell, CA 90201Certificate of waiverApr 16, 2027

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.