Active NPI
Jeffrey C Lai, M.D.
- Sports Medicine (Family Medicine) Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- A113395
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113395 | CA | MD | Mental Health Counselor |
| A113395 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Lai, MD, Inc. | Sports Medicine | Current | 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
- 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.
-
- Sports Medicine (Family Medicine) Physician
- Torrance, CA
- NPI 1093366049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.