Tim T. Lai, MD, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A128380 Issued in CA

Legal business name

TIM T. LAI, MD, INC.

Practice address

11100 Warner Ave
Suite 152
Fountain Valley, CA 92708-7506

Phone

(714) 486-2521

Fax

(714) 486-2613

NPI assigned

Feb 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tim Tien Lai, M.D.NPI 1295094324

Title

President

Phone

(714) 486-2521

Specialties & licenses 1

Addresses

Other names 1

• OC Neuromuscular & Neurology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tim Tien Lai, M.D.

  • Neurology Physician
  • Fountain Valley, CA
  • NPI 1295094324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1639617558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 152",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-486-2521",
            "fax_number": "714-486-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 152",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-486-2521",
            "fax_number": "714-486-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM T. LAI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "TIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-486-2521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A128380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Neuromuscular & Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OC Neuromuscular & Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thrifty Payless Inc
• Thuy Q. Pham MD, PC Dba Avanta Health Medical Group
• Nicole Tibbits, PSYD
• Tien T Nguyen M.D. Inc.
• Kevin Khai Tuan Tieu, MD
• Timothy Cheng MD
• Tina Dao OD Inc
• Debra Lynn Tindle, R.D.
• Anahi Tinoco
• Calvin Z Tint, MD

• Neurology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.

Verify at the official NPI Registry.