Individual provider Active NPI

Adrienne E. Lara, M.D.

  • Obstetrics & Gynecology Physician
  • Oxnard, CA
National Provider Identifier
1871695759
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C51906 Issued in CA
Practice address
1801 Solar Dr
Suite 155
Oxnard, CA 93030-8234
Phone
(805) 988-7577
Fax
(805) 485-0464
NPI assigned
Sep 2, 2006
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C51906 CA Primary

Addresses

Primary practice location

1801 Solar Dr
Suite 155
Oxnard, CA 93030-8234

Mailing address

1801 Solar Dr
Suite 155
Oxnard, CA 93030-8234
Phone (805) 988-7577

Other identifiers 1

IdentifierTypeStateIssuer
1871695759MedicaidCA

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
I20090330000248 CA Practitioner - Obstetrics/Gynecology 8921165358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Solar Dr
Suite 150
Oxnard, CA 93030-0147
Phone (805) 988-7577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51906CAMDObstetrics & Gynecology Physician
51906CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adrienne E. Lara, M.D. Inc. Obstetrics & Gynecology CurrentSince Mar 25, 2009 Accepting new patients

Locations

1801 Solar Dr
Ste 150
Oxnard, CA 93030
Phone (805) 983-1999

1801 Solar Dr
Ste 155
Oxnard, CA 93030
Phone (805) 278-4048

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1871695759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR",
            "address_2": "SUITE 155",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308234",
            "telephone_number": "805-988-7577",
            "fax_number": "805-485-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR",
            "address_2": "SUITE 155",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308234",
            "telephone_number": "805-988-7577",
            "fax_number": "805-485-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "ADRIENNE",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C51906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871695759",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.