Active NPI
Keane Lai
- Clinical Pathology Physician
- Duarte, CA
National Provider Identifier
1770679268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- A90474
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010-3012 - Phone
- (626) 256-4673
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chemical Pathology Physician | 207ZP0104X | A90474 | CA | |
| Chemical Pathology Physician | 207ZP0104X | MD00043014 | WA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MD00043014 | WA | |
| Clinical Pathology Physician | 207ZC0006X | A90474 | CA | Primary |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Other practice location 1
1333 San Pablo Street
USC Department of Pathology MMR 402
Los Angeles, CA 90089-9141
Phone (323) 442-3121
Other practice location 2
1333 San Pablo Street
USC Department of Pathology MMR 402
Los Angeles, CA 90089-9141
Phone (323) 442-3121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | CITY OF HOPE MEDICAL FOUNDATION |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90474 | CA | MD | Clinical Pathology Physician |
| MD00043014 | WA | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1770679268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DUARTE RD",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103012",
"telephone_number": "626-256-4673"
}
],
"practiceLocations": [
{
"address_1": "1333 San Pablo Street",
"address_2": "USC Department of Pathology MMR 402",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900899141",
"country_code": "US",
"telephone_number": "323-442-3121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1333 San Pablo Street",
"address_2": "USC Department of Pathology MMR 402",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900899141",
"country_code": "US",
"telephone_number": "323-442-3121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAI",
"first_name": "KEANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "CA",
"license": "A90474",
"primary": false
},
{
"code": "207ZP0104X",
"taxonomy_group": "",
"desc": "Pathology, Chemical Pathology",
"state": "WA",
"license": "MD00043014",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "WA",
"license": "MD00043014",
"primary": false
},
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "CA",
"license": "A90474",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.