Active NPI
Sherrell Tong Lam, M.D.
- Psychiatry Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C172867
- Practice address
- 100 Pine St Ste 1250
San Francisco, CA 94111-5235 - Phone
- (833) 351-8255
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101246613 | VA | |
| Psychiatry Physician | 2084P0800X | 0101246613 | VA | |
| Psychiatry Physician | 2084P0800X | 332981 | NY | |
| Psychiatry Physician | 2084P0800X | MD61602129 | WA | |
| Psychiatry Physician | 2084P0800X | C172867 | CA | Primary |
Addresses
Primary practice location
100 Pine St Ste 1250
San Francisco, CA 94111-5235
Mailing address
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-8785
Other practice location 1
8901 Wisconsin Ave
Bethesda, MD 20889-0004
Phone (301) 295-8785
Other practice location 2
109 W 27th St Ste 5S
New York, NY 10001-0265
Phone (833) 351-8255
Other practice location 3
2800 Eisenhower Ave Ste 220
Alexandria, VA 22314-4587
Phone (833) 351-8255
Other practice location 4
13555 SE 36th St Ste 100
Bellevue, WA 98006-1456
Phone (833) 351-8255
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C172867 | CA | MD | Psychiatry Physician |
| 332981 | NY | MD | Psychiatry Physician |
| MD61602129 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Ca Psychiatry Services PC | Multi-Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Multi-Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000
100 Pine St
Ste 1250
San Francisco, CA 94111
Phone (415) 390-5445
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Organizations & group practices 4
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1689306920
Multi-Specialty
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
Multi-Specialty
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Anaheim, CA
- NPI 1952333460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1487817797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"telephone_number": "301-295-8785",
"fax_number": "301-391-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PINE ST STE 1250",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115235",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "8901 WISCONSIN AVE",
"address_purpose": "LOCATION",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890004",
"country_code": "US",
"telephone_number": "301-295-8785",
"fax_number": "301-319-2180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "109 W 27th St Ste 5S",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100010265",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Eisenhower Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223144587",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13555 SE 36th St Ste 100",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980061456",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "SHERRELL",
"middle_name": "TONG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101246613",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101246613",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "332981",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD61602129",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C172867",
"primary": true
}
],
"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": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.