Active NPI
Gary Man Lam, MD
- Orthopaedic Surgery of the Spine Physician
- Redding, CA
National Provider Identifier
1083625701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G84812
- Practice address
- 2510 Airpark Dr 106
Redding, CA 96001-2461 - Phone
- (530) 241-9800
- Fax
- (530) 241-9808
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G84812 | CA | Primary |
Addresses
Primary practice location
2510 Airpark Dr 106
Redding, CA 96001-2461
Mailing address
PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200368580 | Medicaid | IN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070612000456 | CA | Practitioner - Orthopedic Surgery | 2264530443 | Practice locations: Redding, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84812 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marta E Alvarez MD PC | Past | Accepting new patients | |
| Timothy a Fitzer MD Inc a Professional Medical Corporation | Past | Accepting new patients |
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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Redding, CA
- NPI 1295253334
-
- Family Medicine Physician
- Berkeley, CA
- NPI 1821104100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1083625701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 496084",
"city": "REDDING",
"state": "CA",
"postal_code": "960496084",
"telephone_number": "530-241-9800",
"fax_number": "530-241-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 AIRPARK DR 106",
"city": "REDDING",
"state": "CA",
"postal_code": "960012461",
"telephone_number": "530-241-9800",
"fax_number": "530-241-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "GARY",
"middle_name": "MAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G84812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200368580",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.