JACQUELYN V LACERA MD
NPI 1063499200
Family Medicine in Corona, CA

Q: What is Jacquelyn Lacera's NPI number?

The NPI number for Jacquelyn Lacera is 1063499200. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Jacquelyn Lacera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Lacera was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment

21634 RETREAT PKWY, CORONA, CA 92883(951) 493-6906(951) 826-8157 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jacquelyn V Lacera Md NPPES

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

JACQUELYN V LACERA MD (NPI 1063499200) is an individual family medicine provider in Corona, California, licensed in California (A76173) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1063499200

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACQUELYN V LACERACredential: MD

Location Address21634 RETREAT PKWYCorona, CA 92883-6100

Mailing Address21634 Retreat PkwyCorona, CA 92883-6100 · (951) 493-6906 · Fax (951) 826-8157

Phone(951) 493-6906

Fax(951) 826-8157

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 29, 2005

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1063499200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A76173

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21634 RETREAT PKWY, Corona, CA 92883

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Secondary Practice Location 1

Location 1830 Magnolia AveCorona, CA 92879-3128 · Phone (951) 493-6906 · Fax (951) 272-4839

Other Identifiers 1

Other1730180415Group Npi #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn V Lacera Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204829898

PECOS Enrollment IDI20040407001616

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services43 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92883 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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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.

RIVERSIDE MEDICAL CLINIC, INC

Family Medicine