Peter Manleung Kam

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26873 Issued in CA

Practice address

230 S Garfield Ave
Suite 103
Monterey Park, CA 91754-2900

Phone

(626) 571-0283

Fax

(626) 571-7825

NPI assigned

Aug 4, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter M. Kam Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter M. Kam, DDS, Inc

  • Dentist
  • Monterey Park, CA
  • NPI 1750701983
  NPD (past) Authorized official
• Western Pain and Headache Center, Inc.

  dba Advanced Pain Center

  • Specialist
  • Alhamabra, CA
  • NPI 1356405591
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184632135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S GARFIELD AVE",
            "address_2": "SUITE 103",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542900",
            "telephone_number": "626-571-0283",
            "fax_number": "626-571-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S GARFIELD AVE",
            "address_2": "SUITE 103",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542900",
            "telephone_number": "626-571-0283",
            "fax_number": "626-571-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAM",
        "first_name": "PETER",
        "middle_name": "MANLEUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "KAM",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine Jumawan
• K. Fan D.D.S., Inc.
• Kelli Mariko Kakita, D.C.
• Kalamata Home Health Care Inc
• Kam Yuen Tse, DO, Inc
• Aurora-Arlene Roque Kamen, M.D.
• Kaneko & Furuichi Dental Corp
• Kaneko Health
• Leslie Kaneko, DDS
• Shinobu Luisa Kaneko, M.D.

• General Practice Dentistry in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.