Active NPI
Xavier David Lara, M.D.
- Psychiatry Physician
- Fresno, CA
National Provider Identifier
1700993003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A76215
- Practice address
- 4441 E Kings Canyon Rd
Fresno, CA 93702-3604 - Phone
- (559) 453-6599
- Fax
- (559) 453-8234
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A76215 | CA | Primary |
Addresses
Primary practice location
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Mailing address
PO Box 11800
Fresno, CA 93775-1800
Phone (559) 453-6599
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76215 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- xavier.lara@4285.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700993003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11800",
"city": "FRESNO",
"state": "CA",
"postal_code": "937751800",
"telephone_number": "559-453-6599",
"fax_number": "559-453-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-453-6599",
"fax_number": "559-453-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "XAVIER",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A76215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.