NPIMap

Individual provider Active NPI

John O Lai, M.D.

  • Internal Medicine Physician
  • Daly City, CA
National Provider Identifier
1457398406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G78359 Issued in CA
Practice address
1500 Southgate Ave
Suite 115
Daly City, CA 94015-2259
Phone
(650) 991-4463
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G78359 CA Primary

Addresses

Primary practice location

1500 Southgate Ave
Suite 115
Daly City, CA 94015-2259

Mailing address

1500 Southgate Ave
Suite 115
Daly City, CA 94015-2259
Phone (650) 991-4463

Other identifiers 1

IdentifierTypeStateIssuer
00G783590MedicaidCA

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
I20051013001046 CA Practitioner - Internal Medicine 1850316290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Lai and Kevin Wong Medical CorporationGroup PAC ID 4981610789, 2 clinicians

Practice addresses (Care Compare)

1580 Valencia St
Suite 208
San Francisco, CA 94110-4420
Phone (415) 821-3304

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78359CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Lai and Kevin Wong , Medical Corporation Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
John Lai and Kevin Wong Medical Corporation Internal Medicine Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Wavecrest Medicine, Inc. PastSince Nov 8, 2010 Accepting new patients

Locations

1500 Southgate Ave
Ste 207
Daly City, CA 94015
Phone (650) 755-9108

1500 Southgate Ave
Ste 115
Daly City, CA 94015
Phone (650) 991-4466

1800 Sullivan Ave
Rm 209
Daly City, CA 94015
Phone (650) 991-4466

1580 Valencia St
Ste 606
San Francisco, CA 94110
Phone (415) 282-3030

1580 Valencia St
Ste 208
San Francisco, CA 94110
Phone (415) 695-7661

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Golden Heights HealthcareDaly City, CA, CCN 055968 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 8, 2021
Apr 8, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457398406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 115",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152259",
            "telephone_number": "650-991-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 115",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152259",
            "telephone_number": "650-991-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "JOHN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G78359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G783590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.