Provider Demographics
NPI:1457573503
Name:LAY, PATRICK CHASE (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:CHASE
Last Name:LAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHASE
Other - Middle Name:
Other - Last Name:LAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2550 SAMARITAN DR STE F
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4104
Mailing Address - Country:US
Mailing Address - Phone:408-358-3888
Mailing Address - Fax:408-358-3150
Practice Address - Street 1:2550 SAMARITAN DR STE F
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4104
Practice Address - Country:US
Practice Address - Phone:408-358-3888
Practice Address - Fax:408-358-3150
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112118207YS0012X, 207YS0123X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA112118OtherCALIFORNIA MEDICAL LICENSE