Organization Active NPI

Gary Kwok-Ying Lam DPM a Professional Corp

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
National Provider Identifier
1457755209
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4748 Issued in CA
Legal business name
GARY KWOK-YING LAM DPM A PROFESSIONAL CORP
Practice address
410 16TH Ave
San Francisco, CA 94118-2812
Phone
(415) 933-6725
Fax
(415) 933-6726
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Dr. Gary K Lam, D.P.MNPI 1588996557
Title
Ceo
Phone
(415) 845-9383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4748 CA Primary

Addresses

Primary practice location

410 16TH Ave
San Francisco, CA 94118-2812

Mailing address

410 16TH Ave
San Francisco, CA 94118-2812
Phone (415) 933-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150714000944 CA Part B Supplier - Clinic/Group Practice 1355654732 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA
O20150721000449 CA DME Supplier - Physician - Podiatry 1355654732 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

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": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1457755209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 16TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182812",
            "telephone_number": "415-933-6725",
            "fax_number": "415-933-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 16TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182812",
            "telephone_number": "415-933-6725",
            "fax_number": "415-933-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY KWOK-YING LAM DPM A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-845-9383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.