Active NPI
Emily Lai Conway, M.D.
- Cardiovascular Disease Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 836514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A112625 | Other | CA | STATE MEDICAL LICENSE |
Other names 1
- Emily Wa-Lin Lai
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Warren Alpert Medical School of Brown University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 836514 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | 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
- 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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- Medicare Defined Swing Bed Hospital Unit
- Lakeport, CA
- NPI 1598098642
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Cardiovascular Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- Critical Access Hospital
- Lakeport, CA
- NPI 1952634008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.