Individual provider Active NPI

Jeffrey C Lai, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Torrance, CA
National Provider Identifier
1942526686
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A113395 Issued in CA
Practice address
3655 Lomita Blvd Ste 202
Torrance, CA 90505-1910
Phone
(424) 363-7488
Fax
(424) 363-7499
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A113395 CA
Sports Medicine (Family Medicine) Physician 207QS0010X A113395 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd Ste 202
Torrance, CA 90505-1910

Mailing address

3655 Lomita Blvd Ste 202
Torrance, CA 90505-1910
Phone (424) 363-7488

Other practice location 1

450 E Spring St Ste 1
Long Beach, CA 90806-1625
Phone (562) 933-0063

Other practice location 2

1250 N Bellflower Blvd
Long Beach, CA 90840-7503
Phone (562) 985-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 11, 2020 through Jun 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113395CAMDMental Health Counselor
A113395CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Lai, MD, Inc. Sports Medicine CurrentSince Sep 29, 2019 Accepting new patients

Locations

1250 N Bellflower Blvd
Long Beach, CA 90840
Phone (562) 985-4111

3655 Lomita Blvd
Ste 202
Torrance, CA 90505
Phone (424) 363-7488

Interoperability endpoints

  • Direct secure messaging: jlai19996@direct.memorialcare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1942526686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051910",
            "telephone_number": "424-363-7488",
            "fax_number": "424-363-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051910",
            "telephone_number": "424-363-7488",
            "fax_number": "424-363-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E Spring St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061625",
            "country_code": "US",
            "telephone_number": "562-933-0063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 N Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908407503",
            "country_code": "US",
            "telephone_number": "562-985-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A113395",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A113395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.