VIVIAN K LAU
NPI 1104671569
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Vivian Lau's NPI number?

The NPI number for Vivian Lau is 1104671569. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Q: What is Vivian Lau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Lau was last updated on April 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2024PECOS EnrolledAccepts Medicare Assignment

9055 BALBOA AVE, SAN DIEGO, CA 92123(619) 849-3331 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vivian K Lau NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN K LAU (NPI 1104671569) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104671569

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameVIVIAN K LAU

Location Address9055 BALBOA AVESan Diego, CA 92123-1509

Mailing Address2823 Worden StSan Diego, CA 92110-5757

Phone(619) 849-3331

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 19, 2024

NPPES CertifiedApril 19, 2024

✔ NPI 1104671569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9055 BALBOA AVE, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vivian K Lau is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527533181

PECOS Enrollment IDI20260410002571

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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