Individual provider Active NPI

Karlena Lara-Otero, PH.D., M.SC.

  • Genetic Counselor (M.S.)
  • San Jose, CA
National Provider Identifier
1669928933
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000796 Issued in CA
Practice address
2589 Samaritan Drive, Floor 3
Mail Code: 7532
San Jose, CA 95124
Phone
(669) 233-2363
Fax
(669) 233-2072
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GC000796 CA Primary

Addresses

Primary practice location

2589 Samaritan Drive, Floor 3
Mail Code: 7532
San Jose, CA 95124

Mailing address

1432 W San Carlos St
Apt #474
San Jose, CA 95126-3217
Phone (202) 374-6939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
GC000796CAMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1669928933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 W SAN CARLOS ST",
            "address_2": "APT #474",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263217",
            "telephone_number": "202-374-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 SAMARITAN DRIVE, FLOOR 3",
            "address_2": "MAIL CODE: 7532",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "669-233-2363",
            "fax_number": "669-233-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA-OTERO",
        "first_name": "KARLENA",
        "credential": "PH.D., M.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.