Individual provider Active NPI

Annie PO Wah Lai, MD

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1548202740
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A64759 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A64759 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6530

Other practice location 1

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6530

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
I20070307000382 CA Practitioner - Diagnostic Radiology 4688777931 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians
John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

Practice addresses (Care Compare)

101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1100 B Gale Wilson Blvd
Fairfield, CA 94533-3771
Phone (707) 646-4646

1101 B Gale Wilson Blvd
Suite 100
Fairfield, CA 94533-3771
Phone (707) 646-4646

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6500

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 295-1545

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1566

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64759CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Mar 23, 2010 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
County of Santa Clara Current Accepting new patients
Epic Care CurrentSince Apr 20, 2020 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Jul 17, 2015 Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients
Pet-CT Imaging of Berkeley, LLC Diagnostic Radiology CurrentSince Nov 22, 2011 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Jul 17, 2015 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 27, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
University Healthcare Alliance CurrentSince Mar 25, 2023 Accepting new patients
John Muir Health Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients

Locations (25 of 42)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1101 B Gale Wilson Blvd
Ste 100
Fairfield, CA 94533
Phone (707) 646-4777

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5730 Telegraph Ave
Ste 200
Oakland, CA 94609

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

5725 W Las Positas Blvd
Ste 120
Pleasanton, CA 94588
Phone (925) 416-6750

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Interoperability endpoints

  • Direct secure messaging: alai201120@santaclaravalley.direct-ci.net
  • Direct secure messaging: alai14001@hisp.ehr.sutterhealth.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1548202740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254260",
            "telephone_number": "650-498-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Crane St",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254260",
            "country_code": "US",
            "telephone_number": "650-498-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "ANNIE",
        "middle_name": "PO WAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A64759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.