DR. JUSTIN LA MD
NPI 1063867513
Urology in San Rafael, CA

Q: What is Justin La's NPI number?

The NPI number for Justin La is 1063867513. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Q: What is Justin La's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Justin La was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 03, 2016PECOS EnrolledAccepts Medicare Assignment

99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2919(415) 444-2328 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Justin La Md NPPES

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

DR. JUSTIN LA MD (NPI 1063867513) is an individual urology provider in San Rafael, California, licensed in California (A152841) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2012).

NPPES Registry Identity

NPI1063867513

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. JUSTIN LACredential: MD

Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308

Mailing Address99 Montecillo RdSan Rafael, CA 94903-3308 · (415) 444-2919 · Fax (415) 444-2328

Phone(415) 444-2919

Fax(415) 444-2328

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2012

Enumeration DateMay 3, 2016

Last NPPES UpdateAugust 30, 2022

NPPES CertifiedAugust 30, 2022

✔ NPI 1063867513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A152841

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

99 MONTECILLO RD, San Rafael, CA 94903

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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

Dr. Justin La 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 ID4789948142

PECOS Enrollment IDI20231212003866

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 94903 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

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$85.00 typical visit price

range $23.44 – $166.64

Typical copayment $21.25 (range $5.86 – $41.66)

Most-billed visit code 99213

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.

MS. MARTA JUDY FRIEDMAN LCSW, JD

Social Worker (Clinical)