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ALEX CHADWICK VAN DER HAM PA
NPI 1043853237
Physician Assistant in Lake Forest, CA

Active since October 21, 2019
26730 TOWNE CENTRE DR STE 204, LAKE FOREST, CA 92610(949) 380-1234 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2021, Oct 21, 2019 (2 updates tracked since 2019).

About Alex Chadwick Van Der Ham Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEX CHADWICK VAN DER HAM PA (NPI 1043853237) is an individual physician assistant in Lake Forest, California, licensed in California (59204) and active in the NPI registry since October 2019. He maintains a secondary practice location in Fullerton.

NPPES Registry Identity

NPI1043853237
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEX CHADWICK VAN DER HAMCredential: PA
Location Address26730 TOWNE CENTRE DR STE 204Lake Forest, CA 92610-2842
Mailing Address26730 Towne Centre Dr Ste 204Foothill Ranch, CA 92610-2842 · (714) 589-5123
Phone(949) 380-1234
Sole ProprietorYes
Enumeration DateOctober 21, 2019
Last NPPES UpdateApril 8, 20212 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
✔ NPI 1043853237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 59204
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
26730 TOWNE CENTRE DR STE 204, Lake Forest, CA 92610
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Secondary Practice Location 1

Location 12575 Yorba Linda BlvdFullerton, CA 92831-1699 · Phone (714) 589-5123

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOOTHILL RANCH EYE CARE
Optometrist (Corneal and Contact Management)
26730 TOWNE CENTRE DR STE 204
FOOTHILL RANCH, CA 92610
Orange County (949) 264-3931
ARTISAN FOOT AND ANKLE PODIATRIC SPECIALISTS INC
Podiatrist (Foot & Ankle Surgery)
26730 TOWNE CENTRE DR STE 204
FOOTHILL RANCH, CA 92610
Orange County (949) 272-0007
GLAUCOMA, INC.
Optometrist (Corneal and Contact Management)
26730 TOWNE CENTRE DR STE 204
FOOTHILL RANCH, CA 92610
Orange County (949) 307-0582
PREMIER PHYSICAL THERAPY INC
Physical Therapist
26730 TOWNE CENTRE DR STE 204
FOOTHILL RANCH, CA 92610
Orange County (949) 716-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alex Van Der Ham's NPI number?

The NPI number for Alex Van Der Ham is 1043853237. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Alex Van Der Ham located?

Alex Van Der Ham practices at 26730 Towne Centre Dr Ste 204, Lake Forest, CA 92610. The listed phone number is (949) 380-1234.

What is Alex Van Der Ham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Alex Van Der Ham was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.