Organization Active NPI

En M Lai D.O. Inc

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1114001500
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6144 Issued in CA
Legal business name
EN M LAI D.O. INC
Practice address
616 N Garfield Ave
Suite 300
Monterey Park, CA 91754-1141
Phone
(626) 280-1181
Fax
(626) 572-5359
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. En Ming Lai, D.O.NPI 1316105554
Title
Owner/Persident
Phone
(626) 280-1181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A6144 CA Primary

Addresses

Primary practice location

616 N Garfield Ave
Suite 300
Monterey Park, CA 91754-1141

Mailing address

616 N Garfield Ave
Suite 300
Monterey Park, CA 91754-1141
Phone (626) 280-1181

Other identifiers 1

IdentifierTypeStateIssuer
00AX61440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080611000886 CA Part B Supplier - Clinic/Group Practice 6709957186 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

National Provider Directory

National Provider Directory

Locations

616 N Garfield Ave
Ste 300
Monterey Park, CA 91754
Phone (559) 355-2027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1114001500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541141",
            "telephone_number": "626-280-1181",
            "fax_number": "626-572-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541141",
            "telephone_number": "626-280-1181",
            "fax_number": "626-572-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN M LAI D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "EN MING",
        "authorized_official_title_or_position": "OWNER/PERSIDENT",
        "authorized_official_telephone_number": "626-280-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX61440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.