Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vivian K Lau, PA-C

Individual provider Physician Assistant · NPI 1104671569

Vivian K Lau, PA-C is a Physician Assistant in San Diego, California. Qualified in 2025, 1 year ago. Practices with Sharp Rees-Stealy Medical Group Inc, a 874-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9055 Balboa Ave
San Diego, CA 92123-1509
Phone: (619) 849-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10670 Wexford St Fl 2, San Diego, CA 92131-3940 — (858) 621-4145

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA67731 (CA)

Record details

NPI number1104671569
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sharp Rees-Stealy Medical Group Inc — 874 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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