Individual provider Active NPI

Trang Thuy Lam, MD

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1891718565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66764 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A66764CAMDInternal Medicine Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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. 6 clinicians

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

Verify at the official NPI Registry.