Dr. Melissa Lara, MD
Family Medicine in Livermore, CA. Individual provider (NPI-1).
NPI number1679211593
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1679211593
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melissa Lara
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2022
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A197704 | CA | Yes |
Practice location
7683 Southfront RdLivermore, CA 94551-8241
Phone 800-478-8837
Mailing address
Po Box 1020Stockton, CA 95201-3120
Phone 209-468-6032
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 24 Family Medicine Physician providers in Livermore · All 1,265 providers in Livermore
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