Active NPI
Trang Thuy Lam, MD
- Internal Medicine Physician
- Victorville, CA
National Provider Identifier
1891718565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A66764
- Practice address
- 12138 Industrial Blvd
Suite 120
Victorville, CA 92395-4757 - Phone
- (760) 951-2599
- Fax
- (760) 951-3091
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A66764 | CA | Primary |
Addresses
Primary practice location
12138 Industrial Blvd
Suite 120
Victorville, CA 92395-4757
Mailing address
11370 Anderson St
Suite 3615
Loma Linda, CA 92354-3450
Phone (909) 558-2481
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000306 | CA | Practitioner - Internal Medicine | 6406956143 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A66764 | CA | MD | Internal Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tran Medical Office, Inc. | Internal Medicine | Past | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- trang.lam@nhanhoa.directbygreenway.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Garden Grove, CA
- NPI 1497889158
CA
-
- Community/Retail Pharmacy
- Garden Grove, CA
- NPI 1942752266
-
- Geriatric Medicine (Internal Medicine) Physician
- Rosemead, CA
- NPI 1629242532
Internal Medicine
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nhan Hoa Comprehensive Health Care Clinic Inc.
Practice addresses (Care Compare)
7761 Garden Grove Blvd
Garden Grove, CA 92841-4200
Phone (714) 898-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891718565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST",
"address_2": "SUITE 3615",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2481",
"fax_number": "909-558-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12138 INDUSTRIAL BLVD",
"address_2": "SUITE 120",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954757",
"telephone_number": "760-951-2599",
"fax_number": "760-951-3091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "TRANG",
"middle_name": "THUY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A66764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.