JETTELE JOY D LARA FNP-C
NPI 1043931629
Nurse Practitioner - Pediatrics in West Covina, CA

Q: What is Jettele Joy Lara's NPI number?

The NPI number for Jettele Joy Lara is 1043931629. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Q: What is Jettele Joy Lara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jettele Joy Lara was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2022PECOS Enrolled

1135 S SUNSET AVE STE 401, WEST COVINA, CA 91790(626) 732-8393 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jettele Joy D Lara Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JETTELE JOY D LARA FNP-C (NPI 1043931629) is an individual pediatrics provider in West Covina, California, licensed in California (95019623) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Covina.

NPPES Registry Identity

NPI1043931629

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJETTELE JOY D LARACredential: FNP-C

Location Address1135 S SUNSET AVE STE 401West Covina, CA 91790-3921

Mailing Address1405 Partridge LnGlendora, CA 91740-4529 · (626) 347-2988

Phone(626) 732-8393

Sole ProprietorNo

Enumeration DateSeptember 12, 2022

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1043931629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95019623

1135 S SUNSET AVE STE 401, West Covina, CA 91790

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Secondary Practice Location 1

Location 11135 S Sunset AveWest Covina, CA 91790-3937 · Phone (626) 483-2150

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jettele Joy D Lara Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMED YOUSUF ZAVERI MD

Family Medicine