Mellani Mallari Lara, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

197993 Issued in CA

Practice address

81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562

Phone

(760) 391-6999

NPI assigned

Mar 22, 2007

Sex

Female

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.

• Oasis Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Banning, CA
  • NPI 1093388480
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1467578047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53941 CALLE SANBORN",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922363139",
            "telephone_number": "760-218-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DR CARREON BLVD STE C9",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015562",
            "telephone_number": "760-391-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42225 Cascata St",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922032809",
            "country_code": "US",
            "telephone_number": "760-347-4427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA",
        "first_name": "MELLANI",
        "middle_name": "MALLARI",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "197993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Lai Ki Lam, PHARM D
• Sanny Lam
• Israel Landa
• Marla R Lander, M.D.
• Karla A. Lara Inzunza
• Michael Lara
• Rob James Lara
• Maria M. Larosa II, MFT
• Veronica Larranaga
• Christopher Larry, LPT

• Licensed Vocational Nurse in Indio, CA
• Providers in Indio, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.