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LARA L. CALLAHAN RDMS, PA-C
NPI 1700065612
Physician Assistant in Sacramento, CA

Active since October 26, 2007PECOS Enrolled
4301 X ST, SACRAMENTO, CA 95817(800) 282-3284 Get Directions Write a Review

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 26, 2026, Dec 6, 2023 (2 updates tracked since 2023).

About Lara L. Callahan Rdms, Pa-c NPPES

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

LARA L. CALLAHAN RDMS, PA-C (NPI 1700065612) is an individual physician assistant in Sacramento, California, licensed in California (19154) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700065612
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARA L. CALLAHANCredential: RDMS, PA-C
Location Address4301 X STSacramento, CA 95817-2214
Mailing Address4301 X StSacramento, CA 95817-2214 · (800) 282-3284 · Fax (805) 772-0395
Phone(800) 282-3284
Sole ProprietorNo
Enumeration DateOctober 26, 2007
Last NPPES UpdateApril 26, 20262 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
✔ NPI 1700065612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 19154
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4301 X ST, Sacramento, CA 95817
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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)

Lara L. Callahan Rdms, Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

ALICIA MARIE MARZOLF RD
Dietitian, Registered
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (408) 219-5594
CHRISTINA SHARKEY MS, RD
Dietitian, Registered (Nutrition, Pediatric)
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2011
RICARDO CARLOS OCAMPO MD
Student in an Organized Health Care Education/Training Program
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2011
CAITLYN KRISTINE BETTENCOURT RN
Nurse Anesthetist, Certified Registered
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-5058
NIAILAH OCHAI
Internal Medicine (Clinical Cardiac Electrophysiology)
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-2011
JONATHAN KIM
Anesthesiology
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-4611
PREET K MATHARU MD
Pediatrics
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 703-3050
CHRISTIAN ORION CASTEEL DO
Emergency Medicine
4301 X ST
SACRAMENTO, CA 95817
Sacramento County (312) 942-7100

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 Lara Callahan's NPI number?

The NPI number for Lara Callahan is 1700065612. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Lara Callahan located?

Lara Callahan practices at 4301 X St, Sacramento, CA 95817. The listed phone number is (800) 282-3284.

What is Lara Callahan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lara Callahan enrolled in Medicare?

Yes. Lara Callahan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Callahan was last updated on April 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.