Active NPI
Mike Lam, DO
- Diagnostic Radiology Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20A24897
- Practice address
- 505 Parnassus Ave
San Francisco, CA 94143-2204 - Phone
- (415) 353-9056
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20A24897 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 94-11003 | KS |
Addresses
Primary practice location
505 Parnassus Ave
San Francisco, CA 94143-2204
Mailing address
1001 Potrero Ave
BLDG. 5, 1St Floor
San Francisco, CA 94110-3518
Phone (628) 206-8020
Other practice location 1
1001 Potrero Ave
Bldg. 5, 1st Floor
San Francisco, CA 94110-3518
Phone (628) 206-8020
Other practice location 2
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2635
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1010 N Kansas St
Wichita, KS 67214-3124
2001 The Embarcadero
Suite 1500
San Francisco, CA 94143-5200
2001 The Embarcadero St
Suite 1500
San Francisco, CA 94133-2964
2411 Holmes St
Kansas City, MO 64108-2741
PO Box
Los Angeles, CA 90074
Hospital & facility affiliations
- UCSF Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24897 | CA | MD | Diagnostic Radiology Physician |
| 94-11003 | KS | MD | Diagnostic Radiology Physician |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043899487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 POTRERO AVE",
"address_2": "BLDG. 5, 1ST FLOOR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103518",
"telephone_number": "628-206-8020",
"fax_number": "628-206-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432204",
"telephone_number": "415-353-9056"
}
],
"practiceLocations": [
{
"address_1": "1001 Potrero Ave",
"address_2": "Bldg. 5, 1st Floor",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103518",
"country_code": "US",
"telephone_number": "628-206-8020",
"fax_number": "628-206-4004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 N Kansas St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672143124",
"country_code": "US",
"telephone_number": "316-293-2635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "MIKE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "20A24897",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "94-11003",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.