Ivan Clifford Lam

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3629 Santa Anita Ave Ste 203
El Monte, CA 91731-3646

Phone

(626) 864-3198

NPI assigned

Feb 3, 2025

Last updated

Sep 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

360 Wellness Physical TherapyGroup PAC ID 8820325079, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 360 Wellness Physical Therapy

  • Physical Therapist
  • West Covina, CA
  • NPI 1174095863
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1336953256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 SANTA ANITA AVE STE 203",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313646",
            "telephone_number": "626-864-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 SANTA ANITA AVE STE 203",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313646",
            "telephone_number": "626-864-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "IVAN",
        "middle_name": "CLIFFORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Lac
• William Lacamento, RN
• Benjamin Lai
• Raymond C Lai
• Anne Quach Lam, NURSE PRACTITIONER
• Jimmy Lam
• Kam W Lam, DC
• Linda Lam, M.S., OTR/L
• Mylinh Lam, OD
• Taylor Vuong Lam, O.D.

• Physical Therapist in El Monte, CA
• Providers in El Monte, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.