Organization Active NPI

Sean Cheong F Lai

  • Gastroenterology Physician
  • Santa Monica, CA
National Provider Identifier
1437172467
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G40912 Issued in CA
Legal business name
SEAN CHEONG F LAI
Practice address
2001 Santa Monica Blvd
1286W
Santa Monica, CA 90404-2102
Phone
(310) 453-0553
Fax
(310) 829-3400
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Sean Cheong Lai, M.D.
Title
Owner
Phone
(310) 453-0553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X G40912 CA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
GR0098070MedicaidCA
ZZZ65413ZOtherCABLUE SHIELD OF CALIFORNIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1437172467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "1286W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0553",
            "fax_number": "310-829-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD",
            "address_2": "1286W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042102",
            "telephone_number": "310-453-0553",
            "fax_number": "310-829-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN CHEONG F LAI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "CHEONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-453-0553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G40912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0098070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ65413Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.