Active NPI
Tim Tien Lai, M.D.
- Neurology Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A128380
- Practice address
- 11100 Warner Ave
Ste 152
Fountain Valley, CA 92708-7510 - Phone
- (714) 486-2521
- Fax
- (714) 486-2613
- NPI assigned
- May 9, 2012
- Last updated
- Mar 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A128380 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave
Ste 152
Fountain Valley, CA 92708-7510
Mailing address
11100 Warner Ave
Ste 152
Fountain Valley, CA 92708-7510
Phone (714) 486-2521
Other names 1
- Tien Thang Lai
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- State University of New York at Buffalo School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 Warner Ave
Suite 152
Fountain Valley, CA 92708-7510
7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765
8342 Garden Grove Blvd
Suite 7
Garden Grove, CA 92844-1151
Phone (714) 486-2521
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128380 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Choice Aco Inc | Current | Accepting new patients | |
| Tim T. Lai, MD, Inc. | Neurology | Current | Accepting new patients |
Locations
11100 Warner Ave
Ste 152
Fountain Valley, CA 92708
Phone (714) 432-1212
8342 Garden Grove Blvd
Ste 7
Garden Grove, CA 92844
Phone (714) 486-2521
7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Westminster, CA
- NPI 1396416863
-
dba OC Neuromuscular & Neurology Center
- Neurology Physician
- Fountain Valley, CA
- NPI 1639617558
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585440000000",
"number": "1295094324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "STE 152",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087510",
"telephone_number": "714-486-2521",
"fax_number": "714-486-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE",
"address_2": "STE 152",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087510",
"telephone_number": "714-486-2521",
"fax_number": "714-486-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "TIM",
"middle_name": "TIEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2020-03-29",
"certification_date": "2020-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A128380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIEN",
"last_name": "LAI",
"middle_name": "THANG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.