Individual provider Active NPI

Anselm O Lam, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1841386141
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31127 Issued in CA
Practice address
1520 Stockton St
San Francisco, CA 94133-3354
Phone
(415) 391-9686
Fax
(414) 355-8644
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19516 WI
Family Medicine Physician 207Q00000X 31127 CA Primary

Addresses

Primary practice location

1520 Stockton St
San Francisco, CA 94133-3354

Mailing address

1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686

Other identifiers 1

IdentifierTypeStateIssuer
30876800MedicaidWI

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
I20081007000471 CA Practitioner - Family Practice 9133196827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

1033 Clement St
San Francisco, CA 94118-2112
Phone (415) 391-9686

1400 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1422 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1450 Noriega St
San Francisco, CA 94122-4432
Phone (415) 391-9686

1520 Stockton St
San Francisco, CA 94133-3354
Phone (415) 391-9686

211 Eastmoor Ave
Daly City, CA 94015-2036
Phone (415) 391-9686

2574 San Bruno Ave
San Francisco, CA 94134-1505
Phone (415) 391-9686

82 Leland Ave
San Francisco, CA 94134-2804
Phone (415) 391-9688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19516WIMDAddiction (Substance Use Disorder) Counselor
31127CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services Current Accepting new patients
North East Medical Services CurrentSince Aug 26, 2008 Accepting new patients
North East Medical Services CurrentSince Aug 26, 2008 Accepting new patients
Columbia St Mary'S Hospital Ozaukee, Inc. Past Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine Past Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

2308 Taraval St
San Francisco, CA 94116

1520 Stockton St
San Francisco, CA 94133

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

Interoperability endpoints

  • Direct secure messaging: alam18456@northeastmedicalservicesnems.direct-ci.com

Organizations & group practices 5

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 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1841386141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 STOCKTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333354",
            "telephone_number": "415-391-9686",
            "fax_number": "414-355-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 STOCKTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941333354",
            "telephone_number": "415-391-9686",
            "fax_number": "414-355-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANSELM",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "19516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "31127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30876800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.