Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Diem Lai

Individual provider Physician Assistant · NPI 1750958161

Amy Diem Lai is a Physician Assistant in Camarillo, California. Qualified in 2021, 5 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

4005 Mission Oaks Blvd Ste A
Camarillo, CA 93012-5156
Phone: (805) 484-7921
Fax: (805) 983-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1750958161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2021
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address2801 Cimmaron Ave, Simi Valley, CA 93065-1308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Camarillo