Individual provider Active NPI

Kenneth Lam, DC

  • Chiropractor
  • Temecula, CA
National Provider Identifier
1053032052
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36419 Issued in CA
Practice address
41750 Winchester Rd Ste M
Temecula, CA 92590-4898
Phone
(951) 296-3595
Fax
(951) 269-2665
NPI assigned
Sep 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36419 CA Primary

Addresses

Primary practice location

41750 Winchester Rd Ste M
Temecula, CA 92590-4898

Mailing address

41750 Winchester Rd Ste M
Temecula, CA 92590-4898
Phone (951) 296-3595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205001894 CA Practitioner - Chiropractic 9830568310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lam Schembri West Coast Chiropractic Menifee IncGroup PAC ID 2769962109, 2 clinicians
West Coast Chiropractic IncGroup PAC ID 3375680739, 4 clinicians

Practice addresses (Care Compare)

29798 Haun Rd
Suite 104
Menifee, CA 92586-6541
Phone (951) 296-3595

41750 Winchester Rd
Suite M
Temecula, CA 92590-4898
Phone (951) 296-3595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36419CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lam Schembri West Coast Chiropractic Menifee Inc Chiropractor CurrentSince Jan 23, 2026 Accepting new patients
West Coast Chiropractic Inc Chiropractor CurrentSince Nov 21, 2022 Accepting new patients

Locations

29798 Haun Rd
Ste 104
Sun City, CA 92586
Phone (951) 296-3595

41750 Winchester Rd
Ste M
Temecula, CA 92590
Phone (951) 296-3595

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.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1053032052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 WINCHESTER RD STE M",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904898",
            "telephone_number": "951-296-3595",
            "fax_number": "951-269-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 WINCHESTER RD STE M",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904898",
            "telephone_number": "951-296-3595",
            "fax_number": "951-269-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.