Jon P Lake, MD

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

License

A84772 Issued in CA

Practice address

12601 Garden Grove Blvd
Garden Grove, CA 92843-1908

Phone

(714) 741-2765

Fax

(714) 590-2490

NPI assigned

Jul 8, 2006

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

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

Pathology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
• Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Merit-based Incentive Payment System (MIPS)

Final score

93.39 of 100Reported as group

Quality

88.62

Improvement activities

40

Cost

77.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Affiliated Pathologists Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1730119553

  Cytopathology

  Medicare reassignment Care Compare group NPD
• Orange Regional Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
  • NPI 1215283619
  NPD (past) Authorized official
• Pih Health Good Samaritan Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1508859323
  NPD (past)
• Soc Pathology Medical Group Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
  • NPI 1598081424
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• St Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  Care Compare affiliation
• St. Joseph Hospital of Orange

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1558575746
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295768786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431908",
            "telephone_number": "714-741-2765",
            "fax_number": "714-590-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "JON",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A84772",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A84772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khang Lai, KHANG
• Khiem Dinh Lai, M.D.
• Michael Lai
• Troy Lai
• Laila Namoury, M.D., Inc.
• Nicolette Lake
• Aisha Muzaffar Lakhani
• Simran Lakhani
• Victoria Doreen Lam Sam
• Chau Lam

• Cytopathology Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Cytopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.