Active NPI
Jennifer Diem Lam
- Pharmacist
- Walnut Creek, CA
National Provider Identifier
1720961956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 92992
- Practice address
- 600 S Broadway
Walnut Creek, CA 94596-5208 - Phone
- (925) 945-3440
- NPI assigned
- Jul 28, 2025
- Last updated
- Aug 29, 2026
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 92992 | CA | Primary |
Addresses
Primary practice location
600 S Broadway
Walnut Creek, CA 94596-5208
Mailing address
129 Peony CT
Fremont, CA 94538-2425
Phone (510) 378-9271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92992 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
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": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1720961956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 PEONY CT",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382425",
"telephone_number": "510-378-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S BROADWAY",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965208",
"telephone_number": "925-945-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JENNIFER",
"middle_name": "DIEM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "92992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.