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CHANDARONG SHAWN LAM
NPI 1477316727
Nurse Practitioner - Primary Care in Chula Vista, CA

Active since January 31, 2024PECOS Enrolled
2420 TURNING TRAIL RD, CHULA VISTA, CA 91914(619) 961-7461 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chandarong Shawn Lam NPPES

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

CHANDARONG SHAWN LAM (NPI 1477316727) is an individual primary care provider in Chula Vista, California, licensed in California (95028785) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477316727
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameCHANDARONG SHAWN LAM
Location Address2420 TURNING TRAIL RDChula Vista, CA 91914-4161
Mailing Address2420 Turning Trail RdChula Vista, CA 91914-4161 · (619) 961-7461
Phone(619) 961-7461
Sole ProprietorNo
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1477316727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95028785
2420 TURNING TRAIL RD, Chula Vista, CA 91914
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandarong Shawn Lam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Molina Healthcare Of California
104 mi
Health Maintenance Organization
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1194811760 (562) 499-6191
Central Health Plan Of California, Inc.
105 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91914 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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 Chandarong Lam's NPI number?

The NPI number for Chandarong Lam is 1477316727. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Chandarong Lam located?

Chandarong Lam practices at 2420 Turning Trail Rd, Chula Vista, CA 91914. The listed phone number is (619) 961-7461.

What is Chandarong Lam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Chandarong Lam enrolled in Medicare?

Yes. Chandarong Lam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chandarong Lam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chandarong Lam reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Long Beach, CA) and Central Health Plan Of California, Inc. (Diamond Bar, 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 Chandarong 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 Chandarong Lam was last updated on January 31, 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.