Individual provider Active NPI

Hon-Wai Kelvin Lam, M.D.

  • Family Medicine Physician
  • Alameda, CA
National Provider Identifier
1467531327
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A76128 Issued in CA
Practice address
501 S Shore Ctr W
Suite C
Alameda, CA 94501-5762
Phone
(510) 769-1118
Fax
(510) 769-1119
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A76128 CA Primary

Addresses

Primary practice location

501 S Shore Ctr W
Suite C
Alameda, CA 94501-5762

Mailing address

PO Box 1560
Alameda, CA 94501-0173
Phone (818) 390-1288

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000703 CA Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Other (Physician) 9537259049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 S Shore Ctr W
Suite 103C
Alameda, CA 94501-5762
Phone (510) 769-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76128CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emeryville Multispecialty Medical Group Professional Corporation Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

501 S Shore Ctr W
Ste C
Alameda, CA 94501
Phone (510) 769-1118

501 S Shore Ctr W
Ste 103C
Alameda, CA 94501
Phone (510) 769-1118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1467531327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945010173",
            "telephone_number": "818-390-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S SHORE CTR W",
            "address_2": "SUITE C",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015762",
            "telephone_number": "510-769-1118",
            "fax_number": "510-769-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "HON-WAI",
        "middle_name": "KELVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A76128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.