Individual provider Active NPI

Fung Lam, M.D.

  • Specialist
  • San Francisco, CA
National Provider Identifier
1225186620
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G48352 Issued in CA
Practice address
1725 Montgomery St
Suite #200
San Francisco, CA 94111-1030
Phone
(415) 831-2180
Fax
(415) 398-2696
NPI assigned
Jan 8, 2007
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G48352 CA Primary

Addresses

Primary practice location

1725 Montgomery St
Suite #200
San Francisco, CA 94111-1030

Mailing address

1725 Montgomery St
Suite #200
San Francisco, CA 94111-1030
Phone (415) 831-2180

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 Medicine

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1225186620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MONTGOMERY ST",
            "address_2": "SUITE #200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111030",
            "telephone_number": "415-831-2180",
            "fax_number": "415-398-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MONTGOMERY ST",
            "address_2": "SUITE #200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941111030",
            "telephone_number": "415-831-2180",
            "fax_number": "415-398-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "FUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G48352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.