Active NPI
Kaleb Can Lai
- Pharmacist
- Lake Elsinore, CA
National Provider Identifier
1841069424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89067
- Practice address
- 160 Diamond Dr
Lake Elsinore, CA 92530-4401 - Phone
- (951) 674-3562
- NPI assigned
- Dec 25, 2023
- Last updated
- Feb 28, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89067 | CA | Primary |
Addresses
Primary practice location
160 Diamond Dr
Lake Elsinore, CA 92530-4401
Mailing address
3002 S Deegan Dr
Santa Ana, CA 92704-6611
Phone (714) 837-3087
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
160 Diamond Dr
Lake Elsinore, CA 92530
Phone (951) 674-3562
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1841069424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 S DEEGAN DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046611",
"telephone_number": "714-837-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 DIAMOND DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304401",
"telephone_number": "951-674-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "KALEB",
"middle_name": "CAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-25",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
- Kaitlyn Nicole Krueger
- Kun Bai Business Inc.
- Sandar Kyi, MD
- Tera Labrosciano, M.A., CCC-SLP
- Debra D Lacy
- Lake Elsinore Clinica Medica Familiar a Medical Corporation (Lake Elsinore Clinica Medica Familiar)
- Lake Elsinore Congregate Care Inc.
- Lake Elsinore Diagnostics
- Lake Elsinore Unified School District
- Lake Elsinore Urgent Care Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.