Active NPI
Sandy Yi-Shuan Lai, MD
- Pediatrics Physician
- San Marino, CA
National Provider Identifier
1689701807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A67557
- Practice address
- 375 Huntington Dr Ste F
San Marino, CA 91108-2357 - Phone
- (626) 270-1580
- Fax
- (626) 399-0478
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A67557 | CA | Primary |
Addresses
Primary practice location
375 Huntington Dr Ste F
San Marino, CA 91108-2357
Mailing address
PO Box 730
Upland, CA 91785-0730
Phone (626) 256-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67557 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig R. Johnson, M.D., Inc. | Past | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| San Marino Pediatric Associates | Pediatrics | Past | Accepting new patients |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Pasadena, CA
- NPI 1578962825
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Pediatrics Physician
- San Marino, CA
- NPI 1528494325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1689701807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730",
"city": "UPLAND",
"state": "CA",
"postal_code": "917850730",
"telephone_number": "626-256-6010",
"fax_number": "855-898-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 HUNTINGTON DR STE F",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082357",
"telephone_number": "626-270-1580",
"fax_number": "626-399-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "SANDY",
"middle_name": "YI-SHUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A67557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.