Organization Active NPI

Jim W Lam MD Prof Corp

  • Family Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1295841294
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51171 Issued in CA
Legal business name
JIM W LAM MD PROF CORP
Practice address
27068 La Paz Rd
#454
Aliso Viejo, CA 92656-3041
Phone
(949) 581-2505
Fax
(949) 581-3135
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Jim W Lam, M.D.
Title
President
Phone
(949) 581-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G51171 CA Primary

Addresses

Primary practice location

27068 La Paz Rd
#454
Aliso Viejo, CA 92656-3041

Mailing address

27068 La Paz Rd
#454
Aliso Viejo, CA 92656-3041
Phone (949) 581-2505

National Provider Directory

National Provider Directory

Locations

24953 Paseo de Valencia
Ste 29A
Laguna Hills, CA 92653
Phone (949) 581-2505

24331 El Toro Rd
Ste 350
Laguna Woods, CA 92637
Phone (949) 581-2505

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1295841294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27068 LA PAZ RD",
            "address_2": "#454",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563041",
            "telephone_number": "949-581-2505",
            "fax_number": "949-581-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27068 LA PAZ RD",
            "address_2": "#454",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563041",
            "telephone_number": "949-581-2505",
            "fax_number": "949-581-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM W LAM MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-581-2505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.