Gordon San Lai, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

56961 Issued in CA

Practice address

337 E. Leland Road
Pittsburg, CA 94565-4911

Phone

(925) 431-7108

Fax

(925) 431-1252

NPI assigned

Jun 27, 2008

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: glai308537@direct.ochin.org

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1790947976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946232210",
            "telephone_number": "510-535-4000",
            "fax_number": "510-535-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E. LELAND ROAD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654911",
            "telephone_number": "925-431-7108",
            "fax_number": "925-431-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "GORDON",
        "middle_name": "SAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56961",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DD556961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anya Stasha Kusmierski, M.A., MFT
• La Clinica de la Raza Inc (La Clinica Pittsburg Dental)
• La Clinica de la Raza Inc (La Clinica Pittsburg - Medical)
• Van Thuy Lac Liu, PHARMD
• Elizabeth Anne Lahman-Jarrett, LMFT
• Rajwant Lally
• Dyana Lam
• Keith Lee Larsen, CAADE-R
• Judith Larson, RN
• Suzanne Lavere, MS, MFT

• Dentist in Pittsburg, CA
• Providers in Pittsburg, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.