Active NPI
Patrick Chase Lay, MD
- Facial Plastic Surgery Physician
- San Jose, CA
National Provider Identifier
1457573503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- A112118
- Practice address
- 2550 Samaritan Dr Ste F
San Jose, CA 95124-4104 - Phone
- (408) 358-3888
- Fax
- (408) 358-3150
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | A112118 | CA | |
| Facial Plastic Surgery Physician | 207YS0123X | A112118 | CA | Primary |
| Otolaryngology Physician | 207Y00000X | A112118 | CA |
Addresses
Primary practice location
2550 Samaritan Dr Ste F
San Jose, CA 95124-4104
Mailing address
2550 Samaritan Dr Ste F
San Jose, CA 95124-4104
Phone (408) 358-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A112118 | Other | CA | CALIFORNIA MEDICAL LICENSE |
Other names 1
- Chase Lay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112118 | CA | MD | Marriage & Family Therapist |
| A112118 | CA | MD | Sleep Medicine (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James N Cohn MD Inc | Past | Accepting new patients | |
| Cupertino Medical Group PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Cupertino, CA
- NPI 1558524785
-
- Ophthalmology Physician
- Fremont, CA
- NPI 1891025813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1457573503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR STE F",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244104",
"telephone_number": "408-358-3888",
"fax_number": "408-358-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR STE F",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244104",
"telephone_number": "408-358-3888",
"fax_number": "408-358-3150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAY",
"first_name": "PATRICK",
"middle_name": "CHASE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "CA",
"license": "A112118",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A112118",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A112118",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL LICENSE",
"identifier": "A112118",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHASE",
"last_name": "LAY",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.