Active NPI
Jim W Lam MD Prof Corp
- Family Medicine Physician
- Aliso Viejo, CA
National Provider Identifier
1295841294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G51171
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.