Active NPI
Victoria Lai
- Dentist
- San Jose, CA
National Provider Identifier
1083116214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104178
- Practice address
- 55 E Julian St
San Jose, CA 95112-4007 - Phone
- (408) 457-7100
- NPI assigned
- Mar 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DDS104178 | CA | Primary |
Addresses
Primary practice location
55 E Julian St
San Jose, CA 95112-4007
Mailing address
55 E Julian St
San Jose, CA 95112-4007
Phone (408) 457-7100
Other practice location 1
164 Kinman Ave
Santa Barbara, CA 93117-3481
Phone (805) 617-7900
Other practice location 2
923 N Milpas St
Santa Barbara, CA 93103-2331
Phone (805) 884-1998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104178 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients | |
| Santa Barbara Neighborhood Clinics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Santa Barbara, CA
- NPI 1063438232
-
- Dental Clinic/Center
- Santa Barbara, CA
- NPI 1972636835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1083116214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E JULIAN ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124007",
"telephone_number": "408-457-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E JULIAN ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124007",
"telephone_number": "408-457-7100"
}
],
"practiceLocations": [
{
"address_1": "164 Kinman Ave",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931173481",
"country_code": "US",
"telephone_number": "805-617-7900",
"fax_number": "805-617-7899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "923 N Milpas St",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931032331",
"country_code": "US",
"telephone_number": "805-884-1998",
"fax_number": "805-884-1875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAI",
"first_name": "VICTORIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-04",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.