NPIMap

Organization Active NPI

Peter Lam Thoai Phuc, MD, Inc.

  • Physical Therapist
  • Pomona, CA
National Provider Identifier
1376571216
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28250 Issued in CA
Legal business name
PETER LAM THOAI PHUC, MD, INC.
Practice address
1184 E Holt Ave
Pomona, CA 91767-5833
Phone
(909) 865-1946
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Peter (Phuc) Thoai Lam, M.D.
Title
Ceo
Phone
(714) 209-8319

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X OPT10558 CA
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X A88219 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT28250 CA Primary

Addresses

Primary practice location

1184 E Holt Ave
Pomona, CA 91767-5833

Mailing address

2728 E 1St St
Long Beach, CA 90803-2512

Other names 1

  • Greater Pomona Medical & Rehab Center Doing business as

National Provider Directory

National Provider Directory

Locations

1184 E Holt Ave
Pomona, CA 91767
Phone (909) 865-1945

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376571216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 E 1ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675833",
            "telephone_number": "909-865-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LAM THOAI PHUC, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PETER (PHUC)",
        "authorized_official_middle_name": "THOAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-209-8319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT10558",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A88219",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Pomona Medical & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.