Individual provider Active NPI

Kristi Marie Lara, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1891074886
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
21736 Issued in CA
Practice address
127 S San Vicente Blvd Ste 7TH
Los Angeles, CA 90048-3311
Phone
(310) 423-8530
Fax
(310) 423-4759
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 21736 CA Primary

Addresses

Primary practice location

127 S San Vicente Blvd Ste 7TH
Los Angeles, CA 90048-3311

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

1441 Eastlake Ave
Nor 8302E
Los Angeles, CA 90089-0112
Phone (323) 865-3808

Other practice location 2

625 S Fair Oaks Ave Ste 345
Pasadena, CA 91105-2677
Phone (424) 314-0203

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristi.lara@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111215000037 CA Practitioner - Physician Assistant 9436324704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (310) 665-7200

625 S Fair Oaks Ave
Suite 270
Pasadena, CA 91105-2668
Phone (424) 314-0177

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21736CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Aug 26, 2013 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 26, 2013 Accepting new patients

Locations

11480 Brookshire Ave
Ste 309
Downey, CA 90241
Phone (562) 869-1201

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1441 Eastlake Ave
#8302E
Los Angeles, CA 90089
Phone (323) 865-3000

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

625 S Fair Oaks Ave
Ste 345
Pasadena, CA 91105
Phone (424) 314-0203

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Interoperability endpoints

  • Direct secure messaging: klara523825@direct.cshs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1891074886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SAN VICENTE BLVD STE 7TH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483311",
            "telephone_number": "310-423-8530",
            "fax_number": "310-423-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Eastlake Ave",
            "address_2": "NOR 8302E",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890112",
            "country_code": "US",
            "telephone_number": "323-865-3808",
            "fax_number": "323-865-0061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S Fair Oaks Ave Ste 345",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052677",
            "country_code": "US",
            "telephone_number": "424-314-0203",
            "fax_number": "424-314-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARA",
        "first_name": "KRISTI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristi.lara@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1441 Eastlake Ave",
            "address_2": "NOR 8302E",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900890112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.