Xin Ling Lao, M.D.
Individual provider Active NPI Family Medicine Physician · Hanford, CA
NPI 1992005102 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1992005102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A116027 (CA)
- Practice address
- 1025 N Douty St
Hanford, CA 93230-3722 - Phone
- (559) 583-2254
- Fax
- (559) 583-2195
- NPI assigned
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170104000759 | CA | Order and Referring Only - Family Practice |
1759553639 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116027 | CA | MD | Clinical Social Worker |
| A116027 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Past |
Accepting new patients |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Clovis Urgent Care Medical Center | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Intercare Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- xin.ling.lao.1@17661.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A116027 | CA | Yes |
Addresses
Primary practice location
1025 N Douty St
Hanford, CA 93230-3722
Mailing address
1025 N Douty St
Hanford, CA 93230-3722
Phone (559) 583-2254
Other providers in Hanford, CA
- April Mayo Lancaster
- Lucas Jay Landeros
- Chloe Zuri Rain Lang
- Donald John Lang
- Vickie Lani
- Joan Laporte
- Cleo Le
- Rick Leach
- Lee Ride, LLC
- Byung Ho Lee
All providers in Hanford, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.