Active NPI
Aimee Joy Depakakibo Lam
- Physical Therapist
- Arcadia, CA
National Provider Identifier
1023715653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34948
- Practice address
- 400 W Huntington Dr
Arcadia, CA 91007-3470 - Phone
- (626) 445-2421
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34948 | CA | Primary |
Addresses
Primary practice location
400 W Huntington Dr
Arcadia, CA 91007-3470
Mailing address
901 Metro Dr
Monterey Park, CA 91755-4233
Phone (909) 438-1204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34948 | Other | CA | PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34948 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1023715653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 METRO DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917554233",
"telephone_number": "909-438-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W HUNTINGTON DR",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910073470",
"telephone_number": "626-445-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "AIMEE JOY",
"middle_name": "DEPAKAKIBO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "34948",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.