Individual provider Active NPI

Anthony Pongwai Lam, MD

  • Internal Medicine Physician
  • Tustin, CA
National Provider Identifier
1659502839
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254364 Issued in NY
Practice address
2895 Edinger Ave
Tustin, CA 92780-7257
Phone
(949) 381-5800
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 254364 NY Primary
Internal Medicine Physician 207R00000X A112245 CA
Medical Oncology Physician 207RX0202X A112245 CA

Addresses

Primary practice location

2895 Edinger Ave
Tustin, CA 92780-7257

Mailing address

700 E Birch St Unit 11055
Brea, CA 92822-2154
Phone (714) 475-0272

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
I20130122000215 CA Practitioner - Medical Oncology 3274670393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shapiro Stafford Yee and Polonsky PCGroup PAC ID 6800109679, 3 clinicians

Practice addresses (Care Compare)

622 W Duarte Rd
Suite 202
Arcadia, CA 91007-9272
Phone (626) 446-4461

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112245CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC Current Accepting new patients
Shapiro Stafford Yee & Polonsky PC Internal Medicine CurrentSince Jun 14, 2018 Accepting new patients
Urology Institute of the South Bay Current Accepting new patients
Shapiro, Stafford and Yee Medical Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 11, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Jan 11, 2016 Accepting new patients
Skyline Urology CurrentSince Mar 1, 2015 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Western Pacific Hematology- Oncology Medical Group, Inc. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

622 W Duarte Rd
Ste 202
Arcadia, CA 91007
Phone (626) 446-4461

450 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2100

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

315 N 3rd Ave
Ste 301
Covina, CA 91723
Phone (626) 331-5314

2927 Lomita Blvd
Ste B
Torrance, CA 90505
Phone 42421245804575

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: anthony.lam.p3@direct.scoa.nextgenshare.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1659502839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BIRCH ST UNIT 11055",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928222154",
            "telephone_number": "714-475-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 EDINGER AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807257",
            "telephone_number": "949-381-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANTHONY",
        "middle_name": "PONGWAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "254364",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A112245",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A112245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.