DR. JASON TAI PANG LAM (NPI# 1114033040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114033040 |
Entity Type | Individual |
Full Name | DR. JASON TAI PANG LAM |
Credential | MD |
Practice Address |
302 California Ave Suite 103 Wahiawa HI 96786-1841 |
Practice Telephone | 8086217733 |
Practice Fax Number | 8086217799 |
Mailing Telephone | 8086217733 |
Mailing Fax Number | 8086217799 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD11212 | HI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932578804 | Jason Lam | Pharmacist | 10936 Corona Ave Fl 2, Corona, NY 11368-3958 | 2015-09-21 |
1861805202 | Jason Trinh Lam | Dentist | 3909 Bryce Rd, Alexandria, VA 22312-1022 | 2014-06-03 |
1861837338 | Jason Khoa Lam | Internal Medicine | 1402 S Grand Blvd Rm 157, Saint Louis, MO 63104-1004 | 2013-05-09 |
1841584158 | Jason Lam | Internal Medicine | 6600 Bruceville Rd Ste 233, Sacramento, CA 95823-4671 | 2011-06-03 |
1396945408 | Jason Lam | Optometrist | 2620 Tuscany St, Suite 103, Corona, CA 92881-4646 | 2007-07-18 |
1629106539 | Jason Hsin-kung Lam | Pharmacist | 9528 Miramar Rd # 172, San Diego, CA 92126-4533 | 2007-03-01 |
1619436243 | Jason Lam | Technician | 5600 Spring Mountain Rd Ste 206, Las Vegas, NV 89146-8823 | 2019-03-13 |
1992294474 | Jason Cheng Xi Lam | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355 | 2018-05-09 |
1447668314 | Jason Lam | Pharmacist | 44009 Osgood Rd, Fremont, CA 94539-6403 | 2014-07-23 |
1073559894 | Jason Chun Sang Lam | Anesthesiology | 677 Church St Ne, Marietta, GA 30060-1101 | 2006-06-21 |
Street Address |
302 CALIFORNIA AVE SUITE 103 |
City | WAHIAWA |
State | HI |
Zip Code | 96786-1841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689675506 | Hugh Norman Hazenfield | Specialist | 302 California Ave, Suite 216, Wahiawa, HI 96786-1841 | 2005-08-02 |
1922630292 | Michelle Ushio | Pharmacist | 302 California Ave, Wahiawa, HI 96786-1841 | 2020-02-05 |
1689047748 | Paola Wellness LLC | Clinic/Center | 302 California Ave, Suite 202, Wahiawa, HI 96786-1841 | 2015-11-11 |
1851780621 | Kawamura Eye Care, LLC | Optometrist | 302 California Ave, Suite 102, Wahiawa, HI 96786-1841 | 2015-01-17 |
1891193397 | Jeremiah Shawn Brennan | Counselor | 302 California Ave, Suite 212, Wahiawa, HI 96786-1841 | 2014-12-15 |
1043646938 | Vichele A Tavares | Counselor | 302 California Ave, Suite 212, Wahiawa, HI 96786-1841 | 2013-09-24 |
1033551478 | Maile Mae Kawano Collado | Physical Therapist | 302 California Ave, Suite 202, Wahiawa, HI 96786-1841 | 2013-07-26 |
1285910158 | Elnora Waoala Hiers | Counselor | 302 California Ave, Wahiawa, HI 96786-1841 | 2011-10-24 |
1467773846 | Amber K. Gomes | Marriage & Family Therapist | 302 California Ave, Suite 212, Wahiawa, HI 96786-1841 | 2010-06-19 |
1104152743 | 21st Century Healthcare LLC LLC | Internal Medicine | 302 California Ave, Suite 209, Wahiawa, HI 96786-1841 | 2009-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801421870 | Macy Tiatti Coleman | Student in an Organized Health Care Education/Training Program | 683 Waianae Ave, Schofield Barracks, HI 96786 | 2020-03-10 |
1063078467 | Jacqueline Tommila | Registered Nurse | Wai'anae & Ayres Ave, Wahiawa, HI 96786 | 2019-05-13 |
1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
1679136246 | Dorinda A Ventura | Licensed Practical Nurse | 1 Wheeler Aaf Wahiawa, Hi 96786, Wahiawa, HI 96786 | 2019-04-18 |
1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
1417445503 | Kristine Wong | Occupational Therapist | 1034 Kilani Ave Ste 109, Wahiawa, HI 96786 | 2018-04-25 |
1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
Find all providers in zip 96786 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043745334 | Benjamin Schnakenberg | Family Medicine | Nmrtcph, 480 Central Avenue, Joint Base Pearl Harbor Hickam, HI 96860-4908 | 2017-04-25 |
1821410473 | Robert Fyrberg | Family Medicine | 2459 Parker Pl, Honolulu, HI 96822-1972 | 2014-01-16 |
1699025924 | Jeffrey Curtis Goodman | Family Medicine | 5454 Kahiliholo Road, Kilauea, HI 96754 | 2012-09-13 |
1780858415 | James Donald Gallup | Family Medicine | 2937 Hibiscus Pl, Honolulu, HI 96815-4727 | 2008-04-14 |
1821538372 | Maria Theresa F. Villa, M.d. LLC | Family Medicine | 634 Kalihi St, Honolulu, HI 96819-4000 | 2017-03-03 |
1295078327 | Maria Theresa Flores Villa | Family Medicine | 634 Kalihi St, Honolulu, HI 96819-4000 | 2013-03-27 |
1376734806 | Javaid Akhter | Family Medicine | 55 Mauilani Pkwy, Wailuku, HI 96793-2416 | 2007-08-08 |
1740324201 | Vance L Fletcher Md LLC | Family Medicine | 91-2139 Fort Weaver Rd, Suite 311, Ewa Beach, HI 96706-3607 | 2007-02-17 |
1962544122 | Mary Katherine Warren | Family Medicine | 75-5995 Kuakini Hwy, Suite 211, Kailua Kona, HI 96740-2144 | 2007-02-13 |
1083790653 | Gayland D.k. Yee | Family Medicine | 221 Piikea Ave # A, Kihei, HI 96753-8268 | 2006-10-27 |
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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.