OLEGARIO JAY LARA (DO) – Diagnostic Radiology Physician, NPI 1376575910

OLEGARIO JAY LARA (DO) is a healthcare provider. based in Santa clara, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials DO. They hold a License No. OS22082 (FL). The NPI Number for OLEGARIO JAY LARA (DO) is 1376575910

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
OLEGARIO JAY LARA (DO)
NPI
1376575910
Phone
(408) 851-5067
Address
710 LAWRENCE EXPY DEPT 396
Enumeration Date
6 July 2006
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548371060
Graduation Year
1993 (33 years ago)
PAC ID
1557397890
Group Practice PAC ID
6002807385
Professional Enrollment ID
I20260206003842
Address ID
FL333283819DA4741XDRXX402

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for OLEGARIO JAY LARA (DO)

  • 710 LAWRENCE EXPY DEPT 396

    SANTA CLARA, CA 950515173

    Phone: (408) 851-5067

    Type: Mailing

  • B06 Conference Room, 710, Lawrence Expressway, Santa Clara, Santa Clara County, California, 95014-0721, United States

    DEPT. 396

    SANTA CLARA, CA 950515173

    Phone: (408) 851-5067

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050708000797IDiagnostic RadiologyCATBD
I20260206003842IDiagnostic RadiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view3831$0
View full utilization report →

Insurance plans in this area (ZIP 95051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002807385View full group profile
NameSpecialtyState
-FL
-FL
Nurse PractitionerFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Interventional CardiologyFL
Diagnostic RadiologyFL
Interventional CardiologyFL
Diagnostic RadiologyPA
-FL

Reviews

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Frequently asked questions

What federal number belongs to OLEGARIO JAY LARA (DO)?
The federal identifier for OLEGARIO JAY LARA (DO) is NPI 1376575910.
Is OLEGARIO JAY LARA (DO) currently active in the NPI registry?
CMS-published data lists OLEGARIO JAY LARA (DO) as an active registrant.
What does OLEGARIO JAY LARA (DO) treat or focus on?
Patients typically see OLEGARIO JAY LARA (DO) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is OLEGARIO JAY LARA (DO)'s primary listing?
We display Santa Clara, California because that is what the record indicates for OLEGARIO JAY LARA (DO).
Is OLEGARIO JAY LARA (DO) a real provider?
This page reflects official NPPES data for NPI 1376575910. Always confirm identity and privileges with the practice and licensing boards.