Active NPI
Eric C Lai, D.C. / L.AC.
- Chiropractor
- Pasadena, CA
National Provider Identifier
1760429393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 30069
- Practice address
- 1017 S Fair Oaks Ave
Pasadena, CA 91105-2621 - Phone
- (626) 403-6200
- Fax
- (626) 403-2580
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC5654 | CA | |
| Chiropractor | 111N00000X | DC 30069 | CA | Primary |
Addresses
Primary practice location
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Mailing address
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC0056540 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30069 | CA | MD | Counseling Psychologist |
| DC 30069 | CA | MD | Chiropractor |
| AC5654 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Lai Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Rancho Palos Verdes, CA
- NPI 1255355897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1760429393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 S FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052621",
"telephone_number": "626-403-6200",
"fax_number": "626-403-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 S FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052621",
"telephone_number": "626-403-6200",
"fax_number": "626-403-2580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "ERIC",
"middle_name": "C",
"credential": "D.C. / L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC5654",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 30069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AC0056540",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.