Individual provider Active NPI

Angeline-Diep Ngoc Lam, D.D.S.

  • General Practice Dentistry
  • Davis, CA
National Provider Identifier
1134201783
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36956 Issued in CA
Practice address
2839 Spafford St
Suite a
Davis, CA 95616-6801
Phone
(530) 758-8828
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36956 CA Primary

Addresses

Primary practice location

2839 Spafford St
Suite a
Davis, CA 95616-6801

Mailing address

2839 Spafford St Ste a
Davis, CA 95618-6810
Phone (530) 758-8288

Other practice location 1

3319 J St
Sacramento, CA 95816-4502
Phone (916) 444-2532

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36956CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1134201783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 SPAFFORD ST STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186810",
            "telephone_number": "530-758-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 SPAFFORD ST",
            "address_2": "SUITE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166801",
            "telephone_number": "530-758-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3319 J St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958164502",
            "country_code": "US",
            "telephone_number": "916-444-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANGELINE-DIEP",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.