Lai Yi Koe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013561-1 Issued in NY

Practice address

3401 Aero Jet Ave
El Monte, CA 91731-2801

Phone

(626) 286-8700

Fax

(626) 286-8650

NPI assigned

Oct 31, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • San Gabriel, CA
  • NPI 1033390273
  Medicare reassignment
• Herald Christian Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1669907135
  NPD

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1811223555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 AERO JET AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312801",
            "telephone_number": "626-286-8700",
            "fax_number": "626-286-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 AERO JET AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312801",
            "telephone_number": "626-286-8700",
            "fax_number": "626-286-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOE",
        "first_name": "LAI YI",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-31",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013561-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph King Jr., CAS
• Anthony McDonald Kingsley, MD
• Stacy Lynn Kirin
• Mary Kladouris
• Robin Knott
• Sandy Soonchung Koh, M.D.
• Javad Kolahi, DDS
• Alvin Kong
• Kimberly Vallejos Kordi, LCSW
• Ly Kouch

• Physician Assistant in El Monte, CA
• Providers in El Monte, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.