Individual provider Active NPI

Rita Lau Price, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1528007747
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18143 Issued in CA
Practice address
8930 S Sepulveda Blvd
Suite 114
Los Angeles, CA 90045-3606
Phone
(310) 337-7171
Fax
(310) 337-1081
NPI assigned
Jun 5, 2006
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18143 CA Primary

Addresses

Primary practice location

8930 S Sepulveda Blvd
Suite 114
Los Angeles, CA 90045-3606

Mailing address

8930 S Sepulveda Blvd
Suite 114
Los Angeles, CA 90045-3606
Phone (310) 337-7171

Other names 1

  • Miss Rita Lau Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000523 CA Practitioner - Physician Assistant 3678593076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard L Sofen MD a Medical CorporationGroup PAC ID 4587800313, 4 clinicians

Practice addresses (Care Compare)

8930 S Sepulveda Blvd
Suite 114
Los Angeles, CA 90045-3606
Phone (310) 337-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18143CAMDPhysician Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1528007747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-337-7171",
            "fax_number": "310-337-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 S SEPULVEDA BLVD",
            "address_2": "SUITE 114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453606",
            "telephone_number": "310-337-7171",
            "fax_number": "310-337-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "RITA",
        "middle_name": "LAU",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "LAU",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.