Active NPI
Natalie Vance Lam, PA
- Physician Assistant
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63347
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206-4007 - Phone
- (818) 409-8000
- NPI assigned
- May 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63347 | CA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206-4007
Mailing address
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (626) 632-4128
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231030002798 | CA | Practitioner - Physician Assistant | 5092161828 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
4700 W Sunset Blvd
Los Angeles, CA 90027-6082
Phone (323) 783-4011
4725 -4733 Sunset Blvd
Los Angeles, CA 90027-6021
Phone (323) 783-4011
4733 W Sunset Blvd
Los Angeles, CA 90027-6021
Phone (213) 667-4784
Hospital & facility affiliations
- Glendale Adventist Medical Center
- Cedar-Sinai Marina del Rey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63347 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gem Medical Group Corporation | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America- California | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Gem Medical Group Corporation | Past | Accepting new patients | |
| Petrel Emergency Physicians, a Medical Corporation | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222
900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
CA
-
- Emergency Medicine Physician
- Glendale, CA
- NPI 1679907869
CA
-
- Emergency Medicine Physician
- Laguna Beach, CA
- NPI 1134355597
CA
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Clinical Medical Laboratory
- N Hollywood, CA
- NPI 1891873303
-
- Health Maintenance Organization
- Woodland Hills, CA
- NPI 1952333478
-
- Emergency Medicine Physician
- Mission Hills, CA
- NPI 1780625871
-
- Emergency Medicine Physician
- Tehachapi, CA
- NPI 1912776329
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1134151657
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1417647751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "626-632-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-409-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "NATALIE",
"middle_name": "VANCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63347",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4733 W Sunset Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900276021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.