Individual provider Active NPI

Eddie K Lam, M.D.

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1518969971
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G72336 Issued in CA
Practice address
333 S Garfield Ave
Suite a
Alhambra, CA 91801-3800
Phone
(626) 289-7333
Fax
(626) 289-6599
NPI assigned
Aug 15, 2005
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G72336 CA Primary

Addresses

Primary practice location

333 S Garfield Ave
Suite a
Alhambra, CA 91801-3800

Mailing address

333 S Garfield Ave
Suite a
Alhambra, CA 91801-3800
Phone (626) 289-7333

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
I20101230000425 CA Practitioner - Internal Medicine 2769421668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amg a Professional Medical CorporationGroup PAC ID 9830092279, 27 clinicians

Practice addresses (Care Compare)

333 S Garfield Ave
Suite a
Alhambra, CA 91801-3895
Phone (626) 282-0282

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72336CAMDPain Medicine (Anesthesiology) Physician
G72336CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg, a Professional Medical Corporation Internal Medicine CurrentSince Jul 17, 2023 Accepting new patients

Locations

1658 W Valley Blvd
Ste 120
Alhambra, CA 91803

333 S Garfield Ave
Ste A
Alhambra, CA 91801
Phone (626) 284-1997

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunny Village Care CenterAlhambra, CA, CCN 055203 Skilled nursing facility Direct Ownership Interest (4%) Dec 31, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1518969971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S GARFIELD AVE",
            "address_2": "SUITE A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013800",
            "telephone_number": "626-289-7333",
            "fax_number": "626-289-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S GARFIELD AVE",
            "address_2": "SUITE A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013800",
            "telephone_number": "626-289-7333",
            "fax_number": "626-289-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "EDDIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G72336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.