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

Lara K Kulchycki, MD

Individual provider Emergency Medicine Physician · NPI 1558317032

Lara K Kulchycki, MD is an Emergency Medicine in Greenbrae, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2003, 23 years ago. Practices with Cep America - California, a 1,267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
23
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA, MA
In the registry since
2006
Specialties on file
2
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

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone: (415) 925-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Deaconess Rd, Boston, MA 02215-5321 — (617) 754-2339

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence C54499 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 227828 (MA)

Record details

NPI number1558317032
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2006
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address1601 Cummins Dr Ste D, Modesto, CA 95358-6411

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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