Active NPI
Thy Ai Lam
- Psychiatric/Mental Health Nurse Practitioner
- Vista, CA
National Provider Identifier
1083277255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95016645
- Practice address
- 550 W Vista Way Ste 407
Vista, CA 92083-5714 - Phone
- (760) 758-1092
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95036841 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95016645 | CA | Primary |
Addresses
Primary practice location
550 W Vista Way Ste 407
Vista, CA 92083-5714
Mailing address
550 W Vista Way Ste 407
Vista, CA 92083-5714
Phone (760) 758-1092
Other practice location 1
1963 4th Ave
San Diego, CA 92101-2394
Phone (619) 233-3432
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9465 Farnham St
San Diego, CA 92123-1308
Phone (858) 573-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Systems, Inc. | Current | Accepting new patients | |
| Mental Health Systems, Inc. | Current | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients |
Locations
9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311
550 W Vista Way
Ste 407
Vista, CA 92083
Phone (760) 758-1092
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1760431670
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1720745169
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1689792533
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1083277255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W VISTA WAY STE 407",
"city": "VISTA",
"state": "CA",
"postal_code": "920835714",
"telephone_number": "760-758-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W VISTA WAY STE 407",
"city": "VISTA",
"state": "CA",
"postal_code": "920835714",
"telephone_number": "760-758-1092"
}
],
"practiceLocations": [
{
"address_1": "1963 4th Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921012394",
"country_code": "US",
"telephone_number": "619-233-3432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "THY",
"middle_name": "AI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95036841",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95016645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.