Individual provider Active NPI

Khanh Minh Lam, O.M.D., L.AC.

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1649594979
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3621 Issued in CA
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

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC3621CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Past Accepting new patients
Advanced Pain Clinic, Inc. Acupuncturist PastSince Jan 1, 2022 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.

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

Verify at the official NPI Registry.