Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Agustin Jaime Lara, MD

Individual provider Family Medicine Physician · NPI 1962697219

Dr. Agustin Jaime Lara, MD is a Family Practice in Ventura, California. Graduated from University of California, San Francisco School of Medicine in 2005, 21 years ago. Practices with Community Memorial Health System, a 187-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
21
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

138 W Main St Ste E
Ventura, CA 93001-2584
Phone: (805) 667-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A97569 (CA)

Record details

NPI number1962697219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 10, 2007
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Community Memorial Health System — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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