Active NPI
Brian Yoshio Laing, M.D.
- Family Medicine Physician
- Santa Monica, CA
National Provider Identifier
1053649640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A110903
- Practice address
- 1920 Colorado Ave
Santa Monica, CA 90404-3414 - Phone
- (310) 319-4700
- Fax
- (310) 453-5106
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A110903 | CA | Primary |
Addresses
Primary practice location
1920 Colorado Ave
Santa Monica, CA 90404-3414
Mailing address
5767 W Century Blvd
Ste. 200
Los Angeles, CA 90045-5631
Phone (310) 319-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110903 | CA | MD | General Practice Dentistry |
| A110903 | CA | MD | Family Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1053649640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "STE. 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-319-4700",
"fax_number": "310-453-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 COLORADO AVE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043414",
"telephone_number": "310-319-4700",
"fax_number": "310-453-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAING",
"first_name": "BRIAN",
"middle_name": "YOSHIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A110903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.