Active NPI
Fred G Lau, MD
- Diagnostic Radiology Physician
- Norwalk, CA
National Provider Identifier
1881671048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G71747
- Practice address
- 13100 Studebaker Rd
Norwalk, CA 90650-2531 - Phone
- (562) 868-3751
- Fax
- (562) 868-9742
- NPI assigned
- Dec 29, 2005
- Last updated
- Mar 4, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K4121 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | G71747 | CA | Primary |
Addresses
Primary practice location
13100 Studebaker Rd
Norwalk, CA 90650-2531
Mailing address
3350 E Birch St
Suite #105
Brea, CA 92821-6264
Phone (714) 646-8649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105245802 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4121 | TX | MD | Specialist |
| G71747 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simonmed Imaging a Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
| C David Garvin, MD, PA | Specialist | Past | Accepting new patients |
| Advanced Medical Imaging of North Texas LP | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIAEAD
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.
-
- Diagnostic Radiology Physician
- Palo Alto, CA
- NPI 1184925141
-
- Diagnostic Radiology Physician
- Sherman, TX
- NPI 1942489125
-
- Specialist
- Denison, TX
- NPI 1588767834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1881671048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 E BIRCH ST",
"address_2": "SUITE #105",
"city": "BREA",
"state": "CA",
"postal_code": "928216264",
"telephone_number": "714-646-8649",
"fax_number": "714-646-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 STUDEBAKER RD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502531",
"telephone_number": "562-868-3751",
"fax_number": "562-868-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "FRED",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K4121",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G71747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105245802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.