Individual provider Active NPI

Kaleb Can Lai

  • Pharmacist
  • Lake Elsinore, CA
National Provider Identifier
1841069424
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
89067 Issued in CA
Practice address
160 Diamond Dr
Lake Elsinore, CA 92530-4401
Phone
(951) 674-3562
NPI assigned
Dec 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 11, 2025 Accepting new patients
Walgreen Co PastSince Jan 1, 2024 Accepting new patients
Walgreen Co PastSince Jan 1, 2024 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 and National Provider Directory roles.

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

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.

Verify at the official NPI Registry.