Individual provider Active NPI

Mason Lai, LE

  • Specialist
  • Pasadena, CA
National Provider Identifier
1902498157
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9669 Issued in CA
Practice address
1041 E Green St Ste 207
Pasadena, CA 91106-2417
Phone
(626) 460-0048
NPI assigned
Feb 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 374700000X L9669 CA
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L9669 CA Primary

Addresses

Primary practice location

1041 E Green St Ste 207
Pasadena, CA 91106-2417

Mailing address

41 S Chester Ave Ste A1
Pasadena, CA 91106-3104
Phone (626) 460-0048

Other names 1

  • Charlotte Aurora Lai Other name

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

State licenses

LicenseStateTypeSpecialty
L9669CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1902498157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 S CHESTER AVE STE A1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063104",
            "telephone_number": "626-460-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E GREEN ST STE 207",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062417",
            "telephone_number": "626-460-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "MASON",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician",
            "state": "CA",
            "license": "L9669",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "LAI",
            "middle_name": "AURORA",
            "credential": "LE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.