Active NPI
Khanh Minh Lam, O.M.D., L.AC.
- Acupuncturist
- Buena Park, CA
National Provider Identifier
1649594979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC3621
- Practice address
- 7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615 - Phone
- (714) 952-1080
- Fax
- (714) 952-1660
- NPI assigned
- Mar 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC3621 | CA | Primary |
Addresses
Primary practice location
7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615
Mailing address
7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615
Phone (714) 952-1080
Other practice location 1
3434 Midway Dr Ste 2001
San Diego, CA 92110-4924
Phone (619) 325-1161
Other practice location 2
23530 Hawthorne Blvd Ste 290
Torrance, CA 90505-4713
Phone (424) 903-7007
Other practice location 3
340 4th Ave Ste 19
Chula Vista, CA 91910-3898
Phone (619) 761-5308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC3621 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Past | Accepting new patients | |
| Advanced Pain Clinic, Inc. | Acupuncturist | Past | Accepting new patients |
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.
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1649594979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7151 LINCOLN AVE STE K",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204615",
"telephone_number": "714-952-1080",
"fax_number": "714-952-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7151 LINCOLN AVE STE K",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204615",
"telephone_number": "714-952-1080",
"fax_number": "714-952-1660"
}
],
"practiceLocations": [
{
"address_1": "3434 Midway Dr Ste 2001",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921104924",
"country_code": "US",
"telephone_number": "619-325-1161",
"fax_number": "619-320-1717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23530 Hawthorne Blvd Ste 290",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905054713",
"country_code": "US",
"telephone_number": "424-903-7007",
"fax_number": "424-903-7009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 4th Ave Ste 19",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919103898",
"country_code": "US",
"telephone_number": "619-761-5308",
"fax_number": "619-591-1910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "KHANH",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "O.M.D., L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC3621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.