Individual provider Active NPI

Richard Y Lam, M.D.

  • Specialist
  • Marina del Rey, CA
National Provider Identifier
1811925258
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A60442 Issued in CA
Practice address
4560 Admiralty Way Ste 111
Marina del Rey, CA 90292-5424
Phone
(310) 827-7707
Fax
(310) 574-4002
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A60442 CA Primary

Addresses

Primary practice location

4560 Admiralty Way Ste 111
Marina del Rey, CA 90292-5424

Mailing address

4560 Admiralty Way Ste 111
Marina del Rey, CA 90292-5424
Phone (310) 827-7707

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
I20050913000347 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 6103858998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prostate Oncology Specialists, Inc.Group PAC ID 0941231179, 3 clinicians

Practice addresses (Care Compare)

4560 Admiralty Way
Suite 111
Marina del Rey, CA 90292-5424
Phone (310) 827-7707

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
98.46 of 100Reported as group
Quality
100
Improvement activities
40
Cost
94.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60442CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Prostate Oncology Specialists, Inc. Specialist CurrentSince Oct 1, 2005 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4560 Admiralty Way
Ste 111
Marina del Rey, CA 90292
Phone (310) 827-7707

4676 Admiralty Way
Ste 101
Marina del Rey, CA 90292
Phone (310) 827-7707

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1811925258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 111",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925424",
            "telephone_number": "310-827-7707",
            "fax_number": "310-574-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 111",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925424",
            "telephone_number": "310-827-7707",
            "fax_number": "310-574-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "RICHARD",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A60442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.