NPIMap

Individual provider Active NPI

Sean C Lai, M.D,

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1396739470
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2001 Santa Monica Blvd
Suite 1286W
Santa Monica, CA 90404-2102
Phone
(310) 453-0553
Fax
(310) 943-2776
NPI assigned
Sep 6, 2005
Reactivated
Mar 31, 2006
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2001 Santa Monica Blvd
Suite 1286W
Santa Monica, CA 90404-2102

Mailing address

2001 Santa Monica Blvd
Suite 1286W
Santa Monica, CA 90404-2102
Phone (310) 453-0553

Other identifiers 1

IdentifierTypeStateIssuer
G40912MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001729 CA Practitioner - Gastroenterology 2264424001 Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Washington School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 1286W
Santa Monica, CA 90404-2230
Phone (310) 453-0553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy136
Upper gastrointestinal (GI) endoscopy for acid reflux244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40912CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint John's Health Center Past Accepting new patients
David Yamini, MD Inc PastSince Feb 9, 2016 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sean.lai@slai.direct-geniusdoc.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1396739470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1286W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0553",
            "fax_number": "310-943-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "SUITE 1286W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0553",
            "fax_number": "310-943-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "SEAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2015-06-17",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G40912",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.