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

Lara Avedian

Individual provider Physician Assistant · NPI 1972072528

Lara Avedian is a Physician Assistant in Los Banos, California. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

520 W St
Los Banos, CA 93635
Phone: (209) 826-0591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 55986 (CA)

Record details

NPI number1972072528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESNovember 13, 2018
Mailing address4146 W Ellery Way, Fresno, CA 93722-3557

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Banos