Active NPI
Jeff Lam, PT, CSCS
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1891880043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27810
- Practice address
- 200 Brannan Street
Suite 340
San Francisco, CA 94107-6011 - Phone
- (650) 888-8872
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27810 | CA | Primary |
Addresses
Primary practice location
200 Brannan Street
Suite 340
San Francisco, CA 94107-6011
Mailing address
219 Brannan St Ste a
San Francisco, CA 94107-6026
Phone (650) 888-8872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPT001060 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27810 | CA | MD | Physical Therapist |
| 27810 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1891880043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 BRANNAN ST STE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941076026",
"telephone_number": "650-888-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BRANNAN STREET",
"address_2": "SUITE 340",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941076011",
"telephone_number": "650-888-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "JEFF",
"name_prefix": "Mr.",
"credential": "PT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPT001060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.