Individual provider Active NPI

Ricky Lau, LCSW

  • Clinical Social Worker
  • Rosemead, CA
National Provider Identifier
1750734968
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW100834 Issued in CA
Practice address
9353 E Valley Blvd
Rosemead, CA 91770
Phone
(626) 287-2988
Fax
(626) 287-1937
NPI assigned
Jul 22, 2016
Reactivated
Aug 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW83997 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X LCSW100834 CA Primary

Addresses

Primary practice location

9353 E Valley Blvd
Rosemead, CA 91770

Mailing address

PO Box 3712
Rancho Cucamonga, CA 91729-3712

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601001267 CA Practitioner - Clinical Social Worker 8921407644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

2299 Mowry Ave
Suite 3B
Fremont, CA 94538-1621
Phone (510) 770-8040

4141 Geary Blvd
San Francisco, CA 94118-3109
Phone (415) 833-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW83997CAMDMental Health Counselor
LCSW100834CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince May 25, 2025 Accepting new patients
Bay Area Community Health CurrentSince May 25, 2025 Accepting new patients

Locations

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 608-6065

39500 Liberty St
Fremont, CA 94538
Phone (510) 770-8133

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1750734968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3712",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917293712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 E VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-287-2988",
            "fax_number": "626-287-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "RICKY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "deactivation_date": "2018-08-02",
        "reactivation_date": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW83997",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW100834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.