Individual provider Active NPI

Kha Hoang Lai, MD

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1427438670
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A162212 Issued in CA
Practice address
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone
(714) 378-7000
Fax
(714) 378-7494
NPI assigned
Jun 3, 2015
Last updated
Mar 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X S0491 TX
Anesthesiology Physician 207L00000X A162212 CA Primary

Addresses

Primary practice location

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Mailing address

17822 17TH St Ste 412
Tustin, CA 92780-2154
Phone (714) 347-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323002464 CA Practitioner - Anesthesiology 7214268283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Anesthesia Solutions IncGroup PAC ID 0042607426, 46 clinicians

Practice addresses (Care Compare)

18111 Brookburst St
Fountain Valley, CA 92708-6728
Phone (714) 378-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162212CAMDAnesthesiology Physician
S0491TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Anesthesia Solutions, Inc Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients

Locations

18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100

1400 S Grand Ave
Ste 700
Los Angeles, CA 90015
Phone (213) 765-7500

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

Interoperability endpoints

  • Direct secure messaging: klai785423@direct.memorialcare.org

Organizations & group practices 1

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 1

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1427438670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 17TH ST STE 412",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802154",
            "telephone_number": "714-347-1000",
            "fax_number": "714-347-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000",
            "fax_number": "714-378-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KHA",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S0491",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A162212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.