Individual provider Active NPI

Richard C Lam, MD

  • Internal Medicine Physician
  • Sun City, CA
National Provider Identifier
1003830191
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A061542 Issued in CA
Practice address
27994 Bradley Rd
Suite C
Sun City, CA 92586-2240
Phone
(951) 679-6467
Fax
(951) 679-1500
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A061542 CA Primary

Addresses

Primary practice location

27994 Bradley Rd
Suite C
Sun City, CA 92586-2240

Mailing address

27994 Bradley Rd
Suite C
Sun City, CA 92586-2240
Phone (951) 679-6467

Other identifiers 4

IdentifierTypeStateIssuer
00A615420OtherCABLUESHIELD INDIVIDUAL
00A615420MedicaidCA
11003500OtherCACAQH
ZZZ62690ZOtherCABLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727001254 CA Practitioner - Internal Medicine 7315917416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

27994 Bradley Rd C
Sun City, CA 92586-2240
Phone (951) 679-6467

Merit-based Incentive Payment System (MIPS)

Final score
26.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A061542CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C. Lam, M.D., Inc. Internal Medicine CurrentSince Aug 1, 1998 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

27994 Bradley Rd
Ste C
Sun City, CA 92586
Phone (909) 301-9339

41900 Winchester Rd
Ste 100
Temecula, CA 92590
Phone (951) 676-2923

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIGBBA/Endpoint/IIGBBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1003830191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "address_2": "SUITE C",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862240",
            "telephone_number": "951-679-6467",
            "fax_number": "951-679-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "address_2": "SUITE C",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862240",
            "telephone_number": "951-679-6467",
            "fax_number": "951-679-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A061542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD INDIVIDUAL",
            "identifier": "00A615420",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11003500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ62690Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.