Individual provider Active NPI

Emily Lai Conway, M.D.

  • Cardiovascular Disease Physician
  • Santa Rosa, CA
National Provider Identifier
1558599969
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
836514 Issued in CA
Practice address
34 Mark West Springs Rd FL 3
Santa Rosa, CA 95403
Phone
(707) 573-5200
Fax
(707) 573-5417
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 836514 CA Primary

Addresses

Primary practice location

34 Mark West Springs Rd FL 3
Santa Rosa, CA 95403

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 573-5200

Other practice location 1

4415 Sonoma Hwy
Suite D
Santa Rosa, CA 95409-7100
Phone (707) 537-0700

Other practice location 2

34 Mark West Springs Rd Ste 310
Santa Rosa, CA 95403-1783
Phone (707) 573-5200

Other identifiers 1

IdentifierTypeStateIssuer
A112625OtherCASTATE MEDICAL LICENSE

Other names 1

  • Emily Wa-Lin Lai 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000031 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Peripheral Vascular Disease 3173656824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine, Peripheral Vascular Disease
Education
Warren Alpert Medical School of Brown University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4500

34 Mark W Springs Rd
Santa Rosa, CA 95403-1436

3883 Airway Dr
Santa Rosa, CA 95403-1671

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
836514CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Cardiovascular Disease Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

795 El Camino Real
#1112
Palo Alto, CA 94301

34 Mark West Springs Rd
Ste 310
Santa Rosa, CA 95403
Phone (707) 573-5200

34 Mark West Springs Rd
Fl 3
Santa Rosa, CA 95403
Phone (707) 573-5200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

990 Sonoma Ave
Ste 2
Santa Rosa, CA 95404
Phone (707) 527-5155

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

Interoperability endpoints

  • Direct secure messaging: econway209042@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 3

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": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1558599969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "707-573-5200",
            "fax_number": "707-573-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MARK WEST SPRINGS RD FL 3",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-573-5200",
            "fax_number": "707-573-5417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 Sonoma Hwy",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954097100",
            "country_code": "US",
            "telephone_number": "707-537-0700",
            "fax_number": "707-537-0701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Mark West Springs Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031783",
            "country_code": "US",
            "telephone_number": "707-573-5200",
            "fax_number": "707-573-5417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "EMILY",
        "middle_name": "LAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "836514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A112625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "LAI",
            "middle_name": "WA-LIN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.