Active NPI
Carie Truong Lam, PA-C
- Physician Assistant
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA53045
- Practice address
- 3030 Childrens Way
San Diego, CA 92123-4232 - Phone
- (858) 966-6789
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA53045 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way
San Diego, CA 92123-4232
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300
Other practice location 1
100 W California Blvd
Pasadena, CA 91105-3097
Phone (626) 397-5111
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 385-1456
14743 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3641
Phone (818) 647-6850
215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 817-9002
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
269 S San Pedro St
Los Angeles, CA 90012-3808
Phone (213) 947-3600
3220 Yorba Linda Blvd
Fullerton, CA 92831-1707
Phone (714) 465-4127
4139 Ball Rd
Cypress, CA 90630-3465
Phone (657) 377-0740
420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614
4623 Eagle Rock Blvd
Los Angeles, CA 90041-3049
Phone (213) 878-5700
5424 Woodruff Ave
Lakewood, CA 90713-1533
Phone (562) 452-0038
600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848
7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333
797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53045 | CA | MD | Physical Therapy Assistant |
| PA53045 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exer Medical Corporation | Current | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Urgent Care Clinic/Center
- Lakewood, CA
- NPI 1184186629
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1992124978
-
- Emergency Medicine Physician
- Pasadena, CA
- NPI 1659383024
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1689048530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234232",
"telephone_number": "858-966-6789"
}
],
"practiceLocations": [
{
"address_1": "100 W California Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911053097",
"country_code": "US",
"telephone_number": "626-397-5111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAM",
"first_name": "CARIE",
"middle_name": "TRUONG",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA53045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.