Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIVIAN K LAU PA-C
NPI 1104671569
Physician Assistant 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 Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Lau was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2024PECOS Enrolled

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

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Apr 19, 2024 (2 updates tracked since 2024).

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About Vivian K Lau Pa-c NPPES

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

VIVIAN K LAU PA-C (NPI 1104671569) is an individual physician assistant in San Diego, California, licensed in California (PA67731) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104671569

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVIVIAN K LAUCredential: PA-C

Location Address9055 BALBOA AVESan Diego, CA 92123-1509

Mailing Address10670 Wexford St Fl 2San Diego, CA 92131-3940

Phone(619) 849-3331

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 19, 2024

Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

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

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA67731

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9055 BALBOA AVE, San Diego, CA 92123

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Secondary Practice Location 1

Location 110670 Wexford St Fl 2San Diego, CA 92131-3940 · Phone (858) 621-4145

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 Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEGAN ANN CHAMBERS

Student in an Organized Health Care Education/Training Program