Individual provider Active NPI

Wai-Hang Jackie Lam, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1063669224
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104834 Issued in CA
Practice address
1450 Noriega St
San Francisco, CA 94122
Phone
(415) 391-9686
Fax
(415) 352-5098
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A104834 CA Primary

Addresses

Primary practice location

1450 Noriega St
San Francisco, CA 94122

Mailing address

1450 Noriega St
San Francisco, CA 94122
Phone (415) 391-9686

Other names 1

  • Jackie Lam Professional name

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
I20091020000360 CA Practitioner - Family Practice 5597802868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-5400

1033 Clement St
San Francisco, CA 94118-2112
Phone (415) 391-9686

123 S San Mateo Dr
San Mateo, CA 94401-3804
Phone (650) 343-4200

1400 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1422 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1450 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686

211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686

2574 San Bruno Ave
San Francisco, CA 94134-1505
Phone (415) 391-9686

3431 Taraval St
San Francisco, CA 94116-2050
Phone (415) 391-9686

82 Leland Ave
San Francisco, CA 94134-2804
Phone (415) 391-9688

Hospital & facility affiliations

  • Alphacare Home Health Home health agency, San Bruno, CA, CCN 559279
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104834CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Aug 18, 2009 Accepting new patients
North East Medical Services Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 1, 2020 Accepting new patients
North East Medical Services CurrentSince Aug 18, 2009 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2308 Taraval St
San Francisco, CA 94116

1520 Stockton St
San Francisco, CA 94133

1450 Noriega St
San Francisco, CA 94122

3431 Taraval St
San Francisco, CA 94116

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1400 Noriega St
San Francisco, CA 94122
Phone (415) 352-5093

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: wlam18465@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1063669224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94122",
            "telephone_number": "415-391-9686",
            "fax_number": "415-352-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94122",
            "telephone_number": "415-391-9686",
            "fax_number": "415-352-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "WAI-HANG",
        "middle_name": "JACKIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "LAM",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.