NICOLAS LARA MD
NPI 1548721244
General Practice in Beale Afb, CA

Q: What is Nicolas Lara's NPI number?

The NPI number for Nicolas Lara is 1548721244. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Nicolas Lara's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolas Lara was last updated on August 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 26, 2019PECOS Enrolled

15301 WARREN SHINGLE RD, BEALE AFB, CA 95903(530) 634-2941 Get Directions Write a Review

NPPES record last updated: August 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2020, Jun 19, 2020, Mar 14, 2020 and 2 more (5 updates tracked since 2019).

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About Nicolas Lara Md NPPES

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

NICOLAS LARA MD (NPI 1548721244) is an individual general practice provider in Beale Afb, California, licensed in Indiana (01084450A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548721244

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameNICOLAS LARACredential: MD

Location Address15301 WARREN SHINGLE RDBeale Afb, CA 95903-1905

Mailing Address15301 Warren Shingle RdBeale Afb, CA 95903-1905

Phone(530) 634-2941

Sole ProprietorNo

Enumeration DateMarch 26, 2019

Last NPPES UpdateAugust 9, 20205 updates tracked since enumeration

NPPES CertifiedAugust 9, 2020

✔ NPI 1548721244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 01084450A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.074068 (IL)

15301 WARREN SHINGLE RD, Beale Afb, CA 95903

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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 (PECOS)

Nicolas Lara Md 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 20

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

DR. TIMOTHY LON HALPIN D.O.

Family Medicine

15301 WARREN SHINGLE RD, 9TH MEDICAL GROUP CLINIC
BEALE AFB, CA 95903

Yuba County (530) 634-4699

DR. NATHANIEL DEAN FORD MD, MPH

Internal Medicine