David Alan Lake, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G29785 Issued in CA

Practice address

550 Hamilton Ave Ste 202
Palo Alto, CA 94301-2030

Phone

(650) 321-1916

Fax

(650) 321-1916

NPI assigned

Oct 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 11, 2016 through Dec 11, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1285969402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 SOUTH CT",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062948",
            "telephone_number": "650-380-3243",
            "fax_number": "650-321-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HAMILTON AVE STE 202",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012030",
            "telephone_number": "650-321-1916",
            "fax_number": "650-321-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G29785",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G29785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nguyen Lai, MD
• Steve Richard Lai, MD
• Ariela Laibson, LCSW
• Gary B Laine, DDS
• Jessica Nicole Laird-Gion, MD
• Azeem K. Lakha, D.M.D.
• Juvanessa Lakilak, MSN, RN, FNP-C
• Sneha Lakshman, MD
• Rinku Mohan Lalchandani, PHD
• Natasha Joanne Lalos, MD

• Psychiatry Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.