Active NPI
John Lai and Kevin Wong , Medical Corporation
- Internal Medicine Physician
- Daly City, CA
National Provider Identifier
1639214513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G78359
- Legal business name
- JOHN LAI AND KEVIN WONG , MEDICAL CORPORATION
- Practice address
- 1500 Southgate Ave
Ste. 207
Daly City, CA 94015-2259 - Phone
- (650) 991-4466
- Fax
- (650) 991-4467
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Lai, MD
- Title
- President
- Phone
- (650) 991-4466
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G78359 | CA | Primary |
Addresses
Primary practice location
1500 Southgate Ave
Ste. 207
Daly City, CA 94015-2259
Mailing address
1500 Southgate Ave
Ste. 207
Daly City, CA 94015-2259
Phone (650) 991-4466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1500 Southgate Ave
Ste 115
Daly City, CA 94015
Phone (650) 991-4466
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Daly City, CA
- NPI 1457398406
-
- Internal Medicine Physician
- Daly City, CA
- NPI 1477523991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1639214513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SOUTHGATE AVE",
"address_2": "STE. 207",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152259",
"telephone_number": "650-991-4466",
"fax_number": "650-991-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SOUTHGATE AVE",
"address_2": "STE. 207",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152259",
"telephone_number": "650-991-4466",
"fax_number": "650-991-4467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN LAI AND KEVIN WONG , MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "LAI",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-991-4466",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G78359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.