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GUSTAVO LARA M.D.
NPI 1639132392
Surgery in Riverside, CA

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
7111 INDIANA AVE STE 100, RIVERSIDE, CA 92504(951) 276-9012(951) 276-9163 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gustavo Lara M.d. NPPES

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

GUSTAVO LARA M.D. (NPI 1639132392) is an individual surgery provider in Riverside, California, licensed in California (A77165) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1994).

NPPES Registry Identity

NPI1639132392
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGUSTAVO LARACredential: M.D.
Location Address7111 INDIANA AVE STE 100Riverside, CA 92504
Mailing Address7111 Indiana Ave Ste 100Riverside, CA 92504-4557 · (951) 276-9012 · Fax (951) 276-9163
Phone(951) 276-9012
Fax(951) 276-9163
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1994
Enumeration DateApril 11, 2006
Last NPPES UpdateMay 24, 2018
✔ NPI 1639132392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A77165
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7111 INDIANA AVE STE 100, Riverside, CA 92504
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Other Identifiers 1

Medicaid00A771650CA

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

Gustavo Lara M.d. 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 ID547274094
PECOS Enrollment IDI20060203000386
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92504 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 5

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

AARON J LEE DO
Surgery
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504
Riverside County (951) 276-9012
ARAS EMDADI DO
Surgery
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504
Riverside County (951) 276-9012
HARVEY A NURICK M.D.
Surgery
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504
Riverside County (951) 276-9012
DR. TUONG C NGUYEN M.D.
Surgery
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504
Riverside County (951) 276-9012
DR. IDEN DAVID ANDACHEH MD
Surgery
7111 INDIANA AVE STE 100
RIVERSIDE, CA 92504
Riverside County (951) 276-9012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Lara's NPI number?

The NPI number for Gustavo Lara is 1639132392. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Gustavo Lara located?

Gustavo Lara practices at 7111 Indiana Ave Ste 100, Riverside, CA 92504. The listed phone number is (951) 276-9012.

What is Gustavo Lara's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gustavo Lara enrolled in Medicare?

Yes. Gustavo Lara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gustavo Lara was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.