Jeovanny Lara Lomeli I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1366551019 Issued in CA

Practice address

2307 W 6TH St
Los Angeles, CA 90057-3119

Phone

(213) 351-2800

NPI assigned

Nov 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Healthright 360

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1871938118
  NPD (past)

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1558905406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SANTA ANITA AVE STE 112B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917331369",
            "telephone_number": "626-636-2370",
            "fax_number": "626-453-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W 6TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573119",
            "telephone_number": "213-351-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 Santa Anita Ave Ste 112B",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917331369",
            "country_code": "US",
            "telephone_number": "626-636-2370",
            "fax_number": "626-453-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA LOMELI",
        "first_name": "JEOVANNY",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1366551019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE USE COUNSELOR",
            "identifier": "R1366551019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Denice Lara Argueta, B.A
• Karen Lara Avelino
• Lara Edinger DO, a Medical Corporation
• Lara LMFT Inc.
• Angela Lara Lomeli, MSW
• Jennifer Lara Lopez
• Jasmin Lara Mendoza
• Tatiana Lara Ospina, M.D.
• Francisco Lara Rodriguez
• Angelica Lara Velasco

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, 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 May 4, 2022; 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.