Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gustavo Lara, MD

Individual provider Surgery Physician · NPI 1639132392

Gustavo Lara, MD is a General Surgery in Riverside, California. Graduated from Harvard Medical School in 1994, 32 years ago. Practices with Nurick Surgical Institute Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
32
Trained at
Harvard Medical School
Licensed in
CA
In the registry since
2006
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

7111 Indiana Ave Ste 100
Riverside, CA 92504
Phone: (951) 276-9012
Fax: (951) 276-9163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A77165 (CA)

Record details

NPI number1639132392
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2006
Last updated in NPPESMay 24, 2018
Mailing address7111 Indiana Ave Ste 100, Riverside, CA 92504-4557

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1994 (32 years in practice)
Group practice Nurick Surgical Institute Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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