Jacob E Lau, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A75621 Issued in CA

Practice address

2811 N Ventura Rd
Oxnard, CA 93036-2213

Phone

(805) 983-0343

Fax

(805) 983-3285

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Dermatology

Education

New York University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Medical Group of Oxnard and CamarilloGroup PAC ID 1850365016, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dermatology Medical Group of Oxnard and Camarillo

  • Dermatology Physician
  • Oxnard, CA
  • NPI 1871526145
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology Medical Group of Oxnard and Camarillo

  • Dermatopathology Physician
  • Camarillo, CA
  • NPI 1063606242
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1285769182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-0343",
            "fax_number": "805-983-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-0343",
            "fax_number": "805-983-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JACOB",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A75621",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A75621",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A75621",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A75621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A756210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Margarida Guerra Larson, DPT
• Latinoamericana Dental LLC
• Janet Marie Latonio, RN
• Lauren Annabelle Latour
• Christine Ting Lau, N.P.
• Justin Lau
• K Seek Lau, DDS
• Starr Laurel
• Lauri M. Spero, Crna, Inc.
• Alan Lavian, D.D.S

• Dermatology Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.