Active NPI
Madison Lara
- Case Manager/Care Coordinator
- Camarillo, CA
National Provider Identifier
1699346601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056 - Phone
- (805) 844-2981
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Mailing address
3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone (805) 289-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56CC | Other | CA | ASPIRA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiranet | Case Manager/Care Coordinator | Current | Accepting new patients |
| Aspira Foster & Family Services - Ventura | Case Manager/Care Coordinator | Current | Accepting new patients |
Locations
3601 Calle Tecate
Ste 201
Camarillo, CA 93012
Phone (805) 289-0130
5284 Adolfo Rd
Ste 100
Camarillo, CA 93012
Phone (805) 289-0130
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Camarillo, CA
- NPI 1215071899
Case Manager/Care Coordinator
-
- Community/Behavioral Health Agency
- Camarillo, CA
- NPI 1255130993
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1699346601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 CALLE TECATE STE 201",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125056",
"telephone_number": "805-289-0120",
"fax_number": "805-289-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 CALLE TECATE STE 201",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125056",
"telephone_number": "805-844-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASPIRA",
"identifier": "56CC",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.