Chai-Kiong Lau, M.D. Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A53742 Issued in CA

Legal business name

CHAI-KIONG LAU, M.D. INC

Practice address

39271 Mission Blvd Ste 105
Fremont, CA 94539-3039

Phone

(510) 742-0568

Fax

(510) 742-0596

NPI assigned

Jan 19, 2017

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chai-Kiong Lau, M.D.NPI 1912957309

Title

President

Phone

(510) 742-0568

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chai-Kiong Lau, M.D.

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1912957309
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1871030577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39271 MISSION BLVD STE 105",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393039",
            "telephone_number": "510-742-0568",
            "fax_number": "510-742-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39271 MISSION BLVD STE 105",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393039",
            "telephone_number": "510-742-0568",
            "fax_number": "510-742-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAI-KIONG LAU, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "CHAI-KIONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-742-0568",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A53742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jhanelle Cervantes
• Angela Helena Cesena, CCC/SLP
• Nutan Chadha, M.D.
• Pawan Chadha, M.D.
• Sonia S Chahal, PA-C
• Chaitanya Dental Care Inc (Mission Ridge Family Dentistry)
• Indranushi Chaliha, MD, MPH
• Sally Chalikonda, OTR/L
• Theresa Chamran
• Hebert Chan Ching, DDS

• Primary Care Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.