Individual provider Active NPI

Gia Thanh Lam, MD

  • General Practice Physician
  • Norco, CA
National Provider Identifier
1437346814
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A39556 Issued in CA
Practice address
5TH & Western St
California Rehabilitation Center CRC
Norco, CA 92860-0991
Phone
(951) 737-2683
Fax
(951) 273-2318
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A39556 CA Primary

Addresses

Primary practice location

5TH & Western St
California Rehabilitation Center CRC
Norco, CA 92860-0991

Mailing address

PO Box 1841
California Rehabilitation Center CRC
Norco, CA 92860-0991
Phone (951) 737-2683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A39556CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1437346814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "address_2": "CALIFORNIA REHABILITATION CENTER CRC",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600991",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH & WESTERN ST",
            "address_2": "CALIFORNIA REHABILITATION CENTER CRC",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600991",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "GIA",
        "middle_name": "THANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A39556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.