Glen K. Lau, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G28241 Issued in CA

Practice address

80 Grand Ave
Ste. 810
Oakland, CA 94612-3725

Phone

(510) 451-6950

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Trivalley Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Pleasanton, CA
  • NPI 1790835130
  NPD (past) Authorized official
• East Bay Special Imaging Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1871731299
  NPD (past)
• Webster Outpatient Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • San Ramon, CA
  • NPI 1467999813
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1073653150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "STE. 810",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-6950",
            "fax_number": "510-451-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "STE. 810",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "GLEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G28241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian CHI-Wah Lau, LCSW
• Carrie Lau
• Catherine Lau, RN
• Celine Lau
• Cynthia Pui Ling Lau, NP-C
• Helen Lau, NP
• Hoi Ying Lau, DO
• Jason M. Lau, MD
• Jerry Lau, DDS
• Judi Lau

• Plastic Surgery Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.