Active NPI
Steven Lam, D.O.
- Family Medicine Physician
- Pomona, CA
National Provider Identifier
1083909600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A11760
- Practice address
- 795 E Second Street
Suite 5
Pomona, CA 91776-2007 - Phone
- (909) 865-2565
- Fax
- (909) 865-2955
- NPI assigned
- Jun 10, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A11760 | CA | Primary |
| Family Medicine Physician | 207Q00000X | OS11205 | FL |
Addresses
Primary practice location
795 E Second Street
Suite 5
Pomona, CA 91776-2007
Mailing address
795 E Second Street
Suite 5
Pomona, CA 91776-2007
Phone (909) 865-2565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FH535Z | Other | CA | MEDICARE SO CALIFORNIA |
| RENDERING | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11205 | FL | MD | Family Medicine Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- steven.lam@662570498326532.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1083909600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E SECOND STREET",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917762007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E SECOND STREET",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917762007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11760",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS11205",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SO CALIFORNIA",
"identifier": "FH535Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RENDERING",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.