Individual provider Active NPI

Wayne Tung-Wei Lai, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1801137294
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A114020 Issued in CA
Practice address
6041 Cadillac Ave
Los Angeles, CA 90034
Phone
(323) 857-3361
NPI assigned
Mar 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A114020 CA Primary

Addresses

Primary practice location

6041 Cadillac Ave
Los Angeles, CA 90034

Mailing address

6041 Cadillac Ave
Los Angeles, CA 90034

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
I20131118000736 CA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 8628204815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
New York Medical College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conejo Los Robles Anesthesiology Medical Group IncGroup PAC ID 7517245541, 28 clinicians

Practice addresses (Care Compare)

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114020CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conejo Los Robles Anesthesiology Medical Group, Inc. Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Simi Valley Anesthesia Medical Group Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Jaspreet Somal M.D., a.P.C. CurrentSince Aug 21, 2022 Accepting new patients
Life Medical Practitioners PastSince Mar 19, 2023 Accepting new patients

Locations

1920 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 306-8800

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

2750 Sycamore Dr
Ste 201
Simi Valley, CA 93065
Phone (805) 583-0110

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

550 Saint Charles Dr
Ste 101
Thousand Oaks, CA 91360
Phone (805) 557-7050

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 1

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1801137294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 CADILLAC AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 CADILLAC AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90034",
            "telephone_number": "323-857-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "WAYNE",
        "middle_name": "TUNG-WEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-08",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A114020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.