Mr Jesus Javier Lara Pena, SAS-I is a
Case Manager/care Coordinator based in Bakersfield, California. Mr Jesus Javier Lara Pena is licensed to practice in * (Not Available) (license number ) and his current practice location is
5121 College Avenue, Bakersfield, California. He can be reached at his office (for appointments etc.) via phone at
(661) 868-8111.
NPI number for Mr Jesus Javier Lara Pena is 1427322668 and his current mailing address is Po Box 1000, Bakersfield, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427322668.
Healthcare Provider's Profile
| Full Name | Mr Jesus Javier Lara Pena |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 5121 College Avenue, Bakersfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427322668
- Provider Enumeration Date: 03/06/2012
- Last Update Date: 04/02/2014
Medical Identifiers
Medical identifiers for Mr Jesus Javier Lara Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427322668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RW6809 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jesus Javier Lara Pena is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jesus Javier Lara Pena, SAS-I
Po Box 1000,
Bakersfield, CA 93302-1000
Ph: (661) 868-6600 | Mr Jesus Javier Lara Pena, SAS-I
5121 College Avenue,
Bakersfield, CA 93305
Ph: (661) 868-8111 |
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