Individual provider Active NPI

David King Lam, MD, DDS, PHD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Francisco, CA
National Provider Identifier
1902132244
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
107193 Issued in CA
Practice address
155 Fifth Street
Department of Oral and Maxillofacial Surgery
San Francisco, CA 94103-1208
Phone
(631) 416-0363
NPI assigned
Oct 21, 2009
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 059354 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 107193 CA
Specialist 174400000X 059354 NY
Specialist 174400000X 107193 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 059354 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 107193 CA Primary

Addresses

Primary practice location

155 Fifth Street
Department of Oral and Maxillofacial Surgery
San Francisco, CA 94103-1208

Mailing address

155 Fifth Street
Department of Oral and Maxillofacial Surgery
San Francisco, CA 94103-1208
Phone (631) 416-0363

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
I20221209002241 CA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 2264798800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Toronto, Faculty of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of the PacificGroup PAC ID 2163740861, 10 clinicians

Practice addresses (Care Compare)

155 5TH St
Suite 250
San Francisco, CA 94103-2919
Phone (415) 780-2001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107193CAMDOral and Maxillofacial Surgery (Dentist)
059354NYMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Pacific Current Accepting new patients
University of the Pacific Oral and Maxillofacial Surgery CurrentSince Aug 3, 2024 Accepting new patients
University of the Pacific CurrentSince Aug 3, 2024 Accepting new patients
University of the Pacific Arthur a. Dugoni PastSince Aug 3, 2024 Accepting new patients
University of the Pacific Oral and Maxillofacial Surgery Past Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo PastSince Oct 2, 2022 Accepting new patients

Locations

155 5th St
Ste 250
San Francisco, CA 94103
Phone (415) 780-2001

155 5th St
Ste 3F
San Francisco, CA 94103
Phone (415) 351-7192

3601 Pacific Ave
Univ of the Pacific, CA 95211
Phone (209) 946-2132

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1902132244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FIFTH STREET",
            "address_2": "DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031208",
            "telephone_number": "631-416-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FIFTH STREET",
            "address_2": "DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941031208",
            "telephone_number": "631-416-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "DAVID",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "MD, DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059354",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "107193",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "059354",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "107193",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "059354",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "107193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.