Organization Active NPI

Benjamin CK Lau MD Inc

  • Physical Medicine & Rehabilitation Physician
  • San Francisco, CA
National Provider Identifier
1396846416
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A60654 Issued in CA
Legal business name
BENJAMIN CK LAU MD INC
Practice address
4306 Geary Blvd
Suite 201
San Francisco, CA 94118-3059
Phone
(415) 876-6400
Fax
(415) 876-6402
NPI assigned
Sep 25, 2006
Organization subpart
Yes
Parent organization
BENJAMIN CK LAU MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Benjamin CK Lau, MDNPI 1144211665
Title
Officer
Phone
(415) 876-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X A60654 CA Primary

Addresses

Primary practice location

4306 Geary Blvd
Suite 201
San Francisco, CA 94118-3059

Mailing address

4306 Geary Blvd
Suite 201
San Francisco, CA 94118-3059
Phone (415) 876-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000340 CA Part B Supplier - Clinic/Group Practice 2567464340 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1089189Benjamin CK Lau, MD, Inc4306 Geary Blvd, Suite 201, San Francisco, CA 94118Certificate of waiverSep 10, 2026

National Provider Directory

National Provider Directory
Part of
Benjamin CK Lau MD Inc

Locations

929 Clay St
Ste 207
San Francisco, CA 94108
Phone (415) 398-5100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1396846416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 GEARY BLVD",
            "address_2": "SUITE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183059",
            "telephone_number": "415-876-6400",
            "fax_number": "415-876-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 GEARY BLVD",
            "address_2": "SUITE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183059",
            "telephone_number": "415-876-6400",
            "fax_number": "415-876-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN CK LAU MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENJAMIN CK LAU MD INC",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "415-876-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A60654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.