Individual provider Active NPI

Khang Huy Lai, D. O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Irvine, CA
National Provider Identifier
1730150608
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A8226 Issued in CA
Practice address
15701 Rockfield Blvd
Irvine, CA 92618-2801
Phone
(949) 457-9900
Fax
(949) 457-9922
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A8226 CA Primary

Addresses

Primary practice location

15701 Rockfield Blvd
Irvine, CA 92618-2801

Mailing address

15701 Rockfield Blvd
Irvine, CA 92618-2801
Phone (949) 457-9900

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
I20060210000110 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0244245322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15701 Rockfield Blvd
Irvine, CA 92618-2801
Phone (949) 457-9900

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8226CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
8226CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital at Mission Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
CHHP Holdings II, LLC 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.

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1730150608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182801",
            "telephone_number": "949-457-9900",
            "fax_number": "949-457-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182801",
            "telephone_number": "949-457-9900",
            "fax_number": "949-457-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KHANG",
        "middle_name": "HUY",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A8226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.