Individual provider Active NPI

Andrew Lai, D.O.

  • Physical Medicine & Rehabilitation Physician
  • North Las Vegas, NV
National Provider Identifier
1194253773
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO2924 Issued in NV
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
May 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO2924 NV
Physical Medicine & Rehabilitation Physician 208100000X DO2924 NV Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

701 Shadow LN Ste 170
Las Vegas, NV 89106-4178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231229001800 NV Practitioner - Physical Medicine and Rehabilitation 1759623838 Reassigns benefits to 1 organization
I20260514004089 CA Practitioner - Physical Medicine and Rehabilitation 1759623838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Occupational Medical Group IncGroup PAC ID 4183764574, 17 clinicians
Healthnomic Partners LLCGroup PAC ID 7315342094, 22 clinicians

Practice addresses (Care Compare)

1321 W Garvey N Ave
West Covina, CA 91790-2242
Phone (949) 955-0022

1801 S la Cienega Blvd
Suite 203
Los Angeles, CA 90035-4659
Phone (949) 955-0022

701 Shadow LN
Suite 170
Las Vegas, NV 89106-4178
Phone (702) 387-1757

720 E Bullard Ave
Suite 101
Fresno, CA 93710-5476
Phone (855) 364-6281

82013 Dr Carreon Blvd
Suite a B
Indio, CA 92201-4832
Phone (760) 775-6966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2924NVMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnomic Partners LLC Neurology CurrentSince Jan 1, 2024 Accepting new patients

Locations

2435 Fire Mesa St
Ste 110
Las Vegas, NV 89128
Phone (725) 200-3242

8440 S Eastern Ave
Ste A
Las Vegas, NV 89123
Phone (702) 269-0204

8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113

701 Shadow Ln
Ste 170
Las Vegas, NV 89106
Phone (702) 254-7634

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.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1194253773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SHADOW LN STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO2924",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "DO2924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.