Active NPI
Nancy Lai, M.D.
- Diagnostic Radiology Physician
- San Mateo, CA
National Provider Identifier
1932326188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A79085
- Practice address
- 101 S San Mateo Dr Ste 201
San Mateo, CA 94401-3843 - Phone
- (650) 343-1655
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A79085 | CA | Primary |
Addresses
Primary practice location
101 S San Mateo Dr Ste 201
San Mateo, CA 94401-3843
Mailing address
101 S San Mateo Dr Ste 201
San Mateo, CA 94401-3843
Phone (650) 343-1655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A79085 | Other | CA | LICENSE |
| 1932326188 | Other | NPI |
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 |
|---|---|---|---|
| 79085 | CA | MD | Marriage & Family Therapist |
| A79085 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1093786410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1932326188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR STE 201",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013843",
"telephone_number": "650-343-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S SAN MATEO DR STE 201",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013843",
"telephone_number": "650-343-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A79085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A79085",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1932326188",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.