1. Home
  2. Directory
  3. California
  4. El Monte
  5. Psychologist
  6. NPI Profile

JORDAN E LARA
NPI 1972284354
Psychologist - Clinical in El Monte, CA

Active since July 27, 2023PECOS Enrolled
3569 LEXINGTON AVE, EL MONTE, CA 91731(626) 453-3399 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2026, May 21, 2026, Aug 10, 2023 and 1 more (4 updates tracked since 2023).

About Jordan E Lara NPPES

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

JORDAN E LARA (NPI 1972284354) is an individual clinical provider in El Monte, California, licensed in California (PSY36749) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972284354
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJORDAN E LARA
Location Address3569 LEXINGTON AVEEl Monte, CA 91731-2607
Mailing Address3569 Lexington AveEl Monte, CA 91731-2607 · (626) 453-3399
Phone(626) 453-3399
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 27, 2023
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1972284354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY36749
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
3569 LEXINGTON AVE, El Monte, CA 91731
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan E Lara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133693096
PECOS Enrollment IDI20260701001529
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Lara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Clinics
Same address
Community/Behavioral Health
3569 LEXINGTON AVE
El Monte, CA 91731
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1518624030 (626) 453-3399

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91731 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

JONATHAN SION APARICIO ROMERO TMFT
Student in an Organized Health Care Education/Training Program
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 453-3399
ADRIANA MARIA RAMIREZ
Student in an Organized Health Care Education/Training Program
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 453-3399
NATASHA MARIE HERNANDEZ
Student in an Organized Health Care Education/Training Program
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (323) 400-7268
CINTHIA LOPEZ
Counselor (Mental Health)
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 453-3399
MAYRA QUEZADA
Licensed Psychiatric Technician
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 453-3399
ROBERTO ALEJANDRO SOTO VILLALOBOS
Social Worker
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 435-3399
VIKKI CHARLES M.F.C.C.
Marriage & Family Therapist
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 453-3399
ANNAYELI HERNANDEZ
Student in an Organized Health Care Education/Training Program
3569 LEXINGTON AVE
EL MONTE, CA 91731
Los Angeles County (626) 254-5000

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 Jordan Lara's NPI number?

The NPI number for Jordan Lara is 1972284354. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Jordan Lara located?

Jordan Lara practices at 3569 Lexington Ave, El Monte, CA 91731. The listed phone number is (626) 453-3399.

What is Jordan Lara's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jordan Lara enrolled in Medicare?

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

Which organization bills Medicare for Jordan Lara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Lara reassigns Medicare benefits to Pacific Clinics (El Monte, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Lara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Lara was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.