GEORGE LAM
NPI 1467961565
Nurse Practitioner - Psychiatric/Mental Health in South Pasadena, CA

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment
625 FAIR OAKS AVE, SOUTH PASADENA, CA 91030(626) 441-4221(626) 799-1009 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2024, Nov 24, 2023, Jan 5, 2022 and 2 more (5 updates tracked since 2017).

About George Lam NPPES

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

GEORGE LAM (NPI 1467961565) is an individual psychiatric/mental health provider in South Pasadena, California, licensed in California (NP95007421) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467961565
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGEORGE LAM
Location Address625 FAIR OAKS AVESouth Pasadena, CA 91030-2630
Mailing Address66 Hurlbut StPasadena, CA 91105-4025 · (626) 441-4221
Fax(626) 799-1009
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 21, 2017
Last NPPES UpdateMay 7, 20245 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1467961565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · NP95007421✔ Licensed in CA · 95007421
625 FAIR OAKS AVE, South Pasadena, CA 91030

Secondary Practice Locations 2

Location 14224 Panamint StLos Angeles, CA 90065-4409 · Phone (323) 678-3130
Location 210165 Sierra Lakes Pkwy #140Fontana, CA 92336 · Phone (909) 244-9593

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

George Lam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840553434
PECOS Enrollment IDI20180412001584
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show George Lam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Community/Behavioral Health
625 FAIR OAKS AVE, STE 125 & STE 300
South Pasadena, CA 91030
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
16465 SIERRA LAKES PKWY STE 140
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
625 FAIR OAKS AVE, SUITE 300
SOUTH PASADENA, CA 91030
Rehabilitation Practitioner
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Day Training/Habilitation Specialist
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Psychologist (Group Psychotherapy)
625 FAIR OAKS AVE, SUITE 270
SOUTH PASADENA, CA 91030
Rehabilitation Practitioner
625 FAIR OAKS AVE, SUITE 300
S PASADENA, CA 91030
Rehabilitation Practitioner
625 FAIR OAKS AVE, SUITE 300
SOUTH PASADENA, CA 91030
Peer Specialist
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Behavior Technician
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

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 George Lam's NPI number?

The NPI number for George Lam is 1467961565. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is George Lam located?

George Lam practices at 625 Fair Oaks Ave, South Pasadena, CA 91030. The listed phone number is (626) 441-4221.

What is George Lam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is George Lam enrolled in Medicare?

Yes. George Lam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for George Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Lam reassigns Medicare benefits to 2 organizations: Pacific Clinics (South Pasadena, CA) and Anthony Benigno, Psyd., Psychological Services, PC (Fontana, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for George Lam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for George Lam was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.