Active NPI
Jose Milton Lara, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Bell, CA
National Provider Identifier
1801935622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 00A51277
- Practice address
- 4670 Gage Ave
Bell, CA 90201-1360 - Phone
- (323) 562-3135
- Fax
- (323) 973-2553
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 00A51277 | CA | Primary |
Addresses
Primary practice location
4670 Gage Ave
Bell, CA 90201-1360
Mailing address
4670 Gage Ave
Bell, CA 90201-1360
Phone (323) 562-3135
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A51277 | Other | MEDICARE NUMBER | |
| 00A512770 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040416000516 | CA | Practitioner - Internal Medicine | 1052306685 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4670 Gage Ave
Bell, CA 90201-1360
Phone (323) 562-3135
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A51277 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bell Clinica Familiar Medical Corporation | Current | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients |
Locations
4670 Gage Ave
Bell Gardens, CA 90201
Phone (323) 562-3135
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1801935622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4670 GAGE AVE",
"city": "BELL",
"state": "CA",
"postal_code": "902011360",
"telephone_number": "323-562-3135",
"fax_number": "323-973-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 GAGE AVE",
"city": "BELL",
"state": "CA",
"postal_code": "902011360",
"telephone_number": "323-562-3135",
"fax_number": "323-973-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "JOSE",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "00A51277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "A51277",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A512770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.