STELLA LAI (NPI# 1588906663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588906663 |
| Entity Type | Individual |
| Full Name | STELLA LAI |
| Credential | MD |
| Practice Address |
990 Sonoma Ave Ste 17 Santa Rosa CA 95404 |
| Mailing Address |
990 Sonoma Ave Ste 17 Santa Rosa CA 95404-4813 |
| Practice Telephone | 7073031714 |
| Practice Fax Number | 7073033996 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A154245 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036.142478 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Lothrop St, Suite N-715, Pittsburgh, PA 152132536 | 4126924700 | |
| 5841 S Maryland Ave # Mc2030, Chicago, IL 606371447 | 7737026390 |
| Street Address |
990 SONOMA AVE STE 17 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1588793962 | Sidney Joseph Kurn | Psychiatry & Neurology | 95 Montgomery Dr Ste 126, Santa Rosa, CA 95404-6617 | 2007-03-03 |
| 1699861344 | Paul E Nicholas | Psychiatry & Neurology | 405 W College Ave Ste F, Santa Rosa, CA 95401-6506 | 2006-10-04 |
| 1336161835 | Joel M Reiter | Psychiatry & Neurology | 1103 Sonoma Ave, Santa Rosa, CA 95405-4805 | 2006-07-24 |
| 1346202975 | Zachary R Lewton | Psychiatry & Neurology | 1194 Montgomery Dr, Santa Rosa, CA 95405-4802 | 2006-04-06 |
| 1649471202 | Sea Jin Kim | Psychiatry & Neurology | 401 Bicentennial Way, Suite 200, Santa Rosa, CA 95403-2149 | 2007-05-30 |
| 1992837496 | Jerome Hsi-cheng Chin | Psychiatry & Neurology | 95 Montgomery Dr, Suite 102, Santa Rosa, CA 95404-6630 | 2007-03-10 |
| 1114066974 | Max Barnett Duncan | Psychiatry & Neurology | 3883 Airway Dr, Suite 201, Santa Rosa, CA 95403-1670 | 2007-02-06 |
| 1194894394 | Jet King-shing Ho | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-06 |
| 1053495036 | John F. Cassidy | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.