NPIMap

Individual provider Active NPI

Gary T. Lai, M.D.

  • Internal Medicine Physician
  • Chino, CA
National Provider Identifier
1245332220
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65030 Issued in CA
Practice address
14335 Pipeline Ave
Chino, CA 91710-5642
Phone
(909) 548-3888
Fax
(909) 548-3999
NPI assigned
Sep 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65030 CA Primary

Addresses

Primary practice location

14335 Pipeline Ave
Chino, CA 91710-5642

Mailing address

PO Box 2703
Chino, CA 91708-2703
Phone (909) 548-3888

Other identifiers 1

IdentifierTypeStateIssuer
00A650300MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000171 CA Practitioner - Internal MedicinePractitioner - General Practice 8426050808 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, CA; Chino, CA; Alhambra, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14335 Pipeline Ave
Chino, CA 91710-5642
Phone (909) 548-3888

2525 S Euclid Ave
Ontario, CA 91762-6620
Phone (909) 986-2288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65030CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary T. Lai, M.D. Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients
Primecare Medical Group Internal Medicine Past Accepting new patients
Elitecare Surgical Group, Inc PastSince Apr 23, 2024 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Southern Ontario Medical Center Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245332220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2703",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917082703",
            "telephone_number": "909-548-3888",
            "fax_number": "909-548-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 PIPELINE AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105642",
            "telephone_number": "909-548-3888",
            "fax_number": "909-548-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "GARY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A650300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.