Olegario Jay Lara, DO | |
710 Lawrence Expy, Dept. 396, Santa Clara, CA 95051-5173 | |
(408) 851-5067 | |
Not Available |
Full Name | Olegario Jay Lara |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 710 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376575910 | NPI | - | NPPES |
00AX66710 | Other | CA | MEDICAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A6671 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital-santa Clara | Santa clara, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Olegario Jay Lara, DO 710 Lawrence Expy, Dept. 396, Santa Clara, CA 95051-5173 Ph: (408) 851-5067 | Olegario Jay Lara, DO 710 Lawrence Expy, Dept. 396, Santa Clara, CA 95051-5173 Ph: (408) 851-5067 |
Stephen L. Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
Kenneth S. Ostrow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
William P Mccullough Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-5062 | |
Ryan Thomas Huber, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy # 120, Santa Clara, CA 95051 Phone: 408-851-5633 | |
Holly Katherine Marciniak Thompson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Dept. 120, Santa Clara, CA 95051 Phone: 408-851-5600 | |
Kerry S. Shiraki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 | |
Lawnie-lyn U. Lau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-236-6400 |