LARA BARHOUM DEMAIO PHYSICIAN ASSISTANT - NPI 1467906610 - Physician Assistant in Fair Oaks, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Lara Barhoum Demaio Physician Assistant NPPES

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

LARA BARHOUM DEMAIO PHYSICIAN ASSISTANT (NPI 1467906610) is an individual medical provider in Fair Oaks, California, licensed in California (55379) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Linden.

NPPES Registry Identity

NPI1467906610

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLARA BARHOUM DEMAIOCredential: PHYSICIAN ASSISTANT

Location Address11634 FAIR OAKS BLVDFair Oaks, CA 95628

Mailing Address11634 Fair Oaks BlvdFair Oaks, CA 95628-3771 · (916) 983-8868

Phone(916) 983-8868

Sole ProprietorNo

Enumeration DateAugust 4, 2016

Last NPPES UpdateJuly 3, 2018

✔ NPI 1467906610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 55379

11634 FAIR OAKS BLVD, Fair Oaks, CA 95628

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Secondary Practice Location 1

Location 1328 W Saint Georges AveLinden, NJ 07036-5638 · Phone (908) 925-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Barhoum Demaio Physician Assistant 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.

Other Providers at the Same Location NPPES 5

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

HEALTHY LIVING PRIMARY CARE, INC

Family Medicine