Amanda Lam, MD

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

101 H St Ste L
Petaluma, CA 94952

Phone

(866) 206-2008

NPI assigned

May 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1861981946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MITCHELL CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 H ST STE L",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94952",
            "telephone_number": "866-206-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 H St Ste L",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94952",
            "country_code": "US",
            "telephone_number": "866-206-2008",
            "fax_number": "866-317-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 H St Ste L",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "94952",
            "country_code": "US",
            "telephone_number": "866-206-2008",
            "fax_number": "866-317-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Lafollette, MFT
• Lisa Marie Laidlaw, FNP
• Lakay Instead Home Care LLC
• Adamane S Lalith Mohan, M.D.
• Justin Brady Lalonde, PT
• Kiely Lam
• Liana Yungay Lam, O.D.
• Mary Lynne Lamb, RD
• Kathie Tunstall Lanatti
• Melissa Landerman

• Behavior Technician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.