Individual provider Active NPI

Rachel Saal Lau

  • Medical Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1063750438
Registry record updated Jan 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA22538 Issued in CA
Practice address
433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409
Phone
(310) 550-7661
Fax
(310) 550-1920
NPI assigned
Jan 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA22538 CA Primary

Addresses

Primary practice location

433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409

Mailing address

433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409
Phone (310) 550-7661

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131226001355 CA Practitioner - Physician Assistant 1951538727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

4201 Torrance Blvd
Suite 640
Torrance, CA 90503-4524
Phone (310) 543-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22538CAMDClinical Social Worker
PA22538CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BH Dermatology Management Inc. PastSince Jan 23, 2012 Accepting new patients
Beverly Hills Dermatology Surgery Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rlau@csisouthca.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358553600000",
    "number": "1063750438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-550-7661",
            "fax_number": "310-550-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-550-7661",
            "fax_number": "310-550-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "RACHEL",
        "middle_name": "SAAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA22538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.