Organization Active NPI

San Gabriel Valley Oral & Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • West Covina, CA
National Provider Identifier
1467304188
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
SAN GABRIEL VALLEY ORAL & FACIAL SURGERY
Practice address
126 S Glendora Ave Ste 108
West Covina, CA 91790-3047
Phone
(626) 966-8518
Fax
(626) 967-0990
NPI assigned
Feb 13, 2026
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Dr. Peter Lam, DDSNPI 1437179264
Title
Partner/Oral Surgeon
Phone
(626) 966-8518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X NU Primary

Addresses

Primary practice location

126 S Glendora Ave Ste 108
West Covina, CA 91790-3047

Mailing address

126 S Glendora Ave Ste 108
West Covina, CA 91790-3047
Phone (626) 966-8518

Other practice location 1

2453 Huntington Dr
San Marino, CA 91108-2644
Phone (626) 486-0700

National Provider Directory

National Provider Directory

Locations

126 S Glendora Ave
Ste 108
West Covina, CA 91790
Phone (626) 966-8518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1467304188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S GLENDORA AVE STE 108",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903047",
            "telephone_number": "626-966-8518",
            "fax_number": "626-967-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S GLENDORA AVE STE 108",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903047",
            "telephone_number": "626-966-8518",
            "fax_number": "626-967-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2453 Huntington Dr",
            "address_purpose": "LOCATION",
            "city": "San Marino",
            "state": "CA",
            "postal_code": "911082644",
            "country_code": "US",
            "telephone_number": "626-486-0700",
            "fax_number": "626-486-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN GABRIEL VALLEY ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PARTNER/ORAL SURGEON",
        "authorized_official_telephone_number": "626-966-8518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.