Andrea Lam Stephens, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23214 Issued in CA

Practice address

20730 Valley Green Dr
Cupertino, CA 95014-1704

Phone

(408) 783-4000

NPI assigned

Jul 25, 2013

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

Other names 1

• Andrea Lam Former name

Medicare fee-for-service enrollment

Enrolled in MD, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.lam.stephens.1@19661.direct.athenahealth.com

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.

• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879

  Family

  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of San Diego Inc

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1568659233
  Medicare reassignment NPD
• Praveen Bolarum, MD LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Frederick, MD
  • NPI 1568685287
  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1992147425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141704",
            "telephone_number": "408-783-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Thomas Johnson Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024518",
            "country_code": "US",
            "telephone_number": "301-694-6688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 California St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941094586",
            "country_code": "US",
            "telephone_number": "713-589-5283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8850 Valley View St",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906203562",
            "country_code": "US",
            "telephone_number": "714-827-7321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM STEPHENS",
        "first_name": "ANDREA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LAM",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Elizabeth Kyger Henry, PT, DPT, CSCS
• Kyle Yamasaki Marriage and Family Therapy PC
• Kyung Hee Acupuncture, Inc.
• Randall M La From, D.D.S.
• Lakshmi Bangalorevatsansri (Lakshmi Vatsan MD)
• Ilana Wong Lam, PT
• Lan Nguyen
• Chiahsin Lan, DDS
• Marianne Katariina Lapastora, PSYD
• Sharon S Lau

• Family Nurse Practitioner in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.