Individual provider Active NPI

Jose Milton Lara, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bell, CA
National Provider Identifier
1801935622
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
00A51277 Issued in CA
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

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A51277OtherMEDICARE NUMBER
00A512770MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000516 CA Practitioner - Internal MedicinePractitioner - Geriatric 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

LicenseStateTypeSpecialty
00A51277CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Bell Clinica Familiar Medical Corporation CurrentSince Sep 1, 2003 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.

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

Verify at the official NPI Registry.