LISA LAM (NPI# 1780210989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780210989 |
| Entity Type | Individual |
| Full Name | LISA LAM |
| Credential | NP |
| Practice Address |
491 E Alessandro Blvd Riverside CA 92508 |
| Mailing Address |
491 E Alessandro Blvd Riverside CA 92508-6071 |
| Practice Telephone | 9517801835 |
| Mailing Telephone | 9517801835 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014189 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 416 W Las Tunas Dr Ste 201, San Gabriel, CA 917761236 | 6263898448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598174286 | Lisa Lam | Dentist | 601 W Hammel St, Monterey Park, CA 91754-6908 | 2014-08-06 |
| 1568727204 | Lisa Marie Lam | Doula | 13571 Canyon Crest Way, Eastvale, CA 92880-7286 | 2012-07-09 |
| 1568796803 | Lisa Sangly Lam | Internal Medicine | 1011 Baldwin Park Blvd, Urgent Care Department, Urgent Care Department, Baldwin Park, CA 91706-5806 | 2009-09-18 |
| 1548388200 | Lisa Marie Lam | Social Worker | 9300 Dewitt Loop River Pavillion, 2nd Floor, Fort Belvoir Community Hospital -, Fort Belvoir, VA 22060 | 2007-03-27 |
| 1609302116 | Lisa Lam | Pharmacist | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | 2017-05-03 |
| 1912443953 | Lisa Lam | Pharmacist | 600 E 233rd St, Bronx, NY 10466-2604 | 2017-01-15 |
| 1699120576 | Lisa Lam | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2016-04-28 |
| 1952646838 | Lisa Lam | Acupuncturist | 3580 California St, Suite 205, San Francisco, CA 94118-1725 | 2012-12-04 |
| 1043475387 | Lisa Lam | Family Medicine | 901 Campus Dr, Daly City, CA 94015-4900 | 2008-07-25 |
| Street Address |
491 E ALESSANDRO BLVD |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457869 | Garfield Beach Cvs LLC | Pharmacy | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2006-06-17 |
| 1417569906 | Freddy Chung | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2020-08-18 |
| 1255979456 | Ahmad Salam | Pharmacist | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2019-12-18 |
| 1548826340 | Elizabeth Leigh Pierce | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2019-05-16 |
| 1851853964 | Agnes Sara Labit Rivera | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2019-04-05 |
| 1467920934 | Maame Ekua Osei | Registered Nurse | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2018-11-02 |
| 1336616879 | Yvette Ambroze | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2018-11-01 |
| 1952830168 | Jaqueta Antanina Williams | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2017-06-09 |
| 1609326024 | Denise Pettinger | Nurse Practitioner | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2016-10-10 |
| 1144674235 | Venkatram Vadlamudi | Pharmacist | 491 E Alessandro Blvd, Riverside, CA 92508-6071 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
| 1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
| 1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
| 1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
| 1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
| 1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
| Find all providers in zip 92508 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425145 | Alpha Shanika Gonzalez | Nurse Practitioner | 5750 Division St Ste 204, Riverside, CA 92506-3260 | 2020-04-08 |
| 1184264517 | Michael Josiah | Nurse Practitioner | 16254 Bridgton Cir, Riverside, CA 92503-5978 | 2020-01-14 |
| 1346885738 | Rose Jionna Newton | Nurse Practitioner | 750 Via Pueblo Apt 201, Riverside, CA 92507-6376 | 2019-11-09 |
| 1952957375 | April Blum | Nurse Practitioner | 14200 Meridian Parkway, # 101, Riverside, CA 92518 | 2019-08-12 |
| 1487209326 | Glecy Kristine Tan Lua | Nurse Practitioner | 7992 Wood Rd, Riverside, CA 92508-6605 | 2019-08-07 |
| 1386119725 | Eugene Santos | Nurse Practitioner | 3600 Lime St Ste 516, Riverside, CA 92501-0944 | 2018-10-12 |
| 1407356918 | Reyna Acela Reynaga-vargas | Nurse Practitioner | 5430 Arlington Ave # Na, Riverside, CA 92504-2505 | 2018-02-20 |
| 1174021646 | Mary Anne Brown | Nurse Practitioner | 10895 Magnolia Ave, Riverside, CA 92505-3057 | 2018-01-30 |
| 1295249167 | Emily Fernandez | Nurse Practitioner | 9444 Alta Cresta Ave, Riverside, CA 92508-8032 | 2017-11-29 |
| 1124538152 | Clara Nnadi | Nurse Practitioner | 18445 Pinecone Ln, Riverside, CA 92504-9420 | 2017-10-04 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.