Wan Fong Lau, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22426 Issued in CA

Practice address

633 N Central Ave
#105
Glendale, CA 91203-1801

Phone

(818) 662-6950

NPI assigned

Apr 17, 2014

Last updated

Apr 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: wan.lau.1@32527.direct.athenahealth.com
• Direct secure messaging: wan.lau.p1@direct.caremorewest.nextgenshare.com

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.

• Garo Karakashian, M.D, Inc.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1780729772
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1356761266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 E LILAC WAY",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N CENTRAL AVE",
            "address_2": "#105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031801",
            "telephone_number": "818-662-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "WAN FONG",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Latchis, MFT
• Annie Latta
• Deon We-Jin Lau, M.D.
• Gordon Lau, D.D.S.
• Jonathan B Lau, D.O.
• Brenda Grice Laue, DC
• Laura's Corset Shoppe Inc.
• Joyce Lauterback, MFT
• Lav Home Health
• Erlinda L Lavares, DDS

• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.