MS. LISA SANGLY LAM PA-C
NPI 1568796803
Physician Assistant - Medical in Baldwin Park, CA

Active since September 18, 2009PECOS Enrolled
1011 BALDWIN PARK BLVD, URGENT CARE DEPARTMENT, URGENT CARE DEPARTMENT, BALDWIN PARK, CA 91706(626) 851-1011 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2021, Jun 9, 2020 (2 updates tracked since 2020).

About Ms. Lisa Sangly Lam Pa-c NPPES

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

MS. LISA SANGLY LAM PA-C (NPI 1568796803) is an individual medical provider in Baldwin Park, California, licensed in California (PA20106) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568796803
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. LISA SANGLY LAMCredential: PA-C
Location Address1011 BALDWIN PARK BLVD, URGENT CARE DEPARTMENT, URGENT CARE DEPARTMENTBaldwin Park, CA 91706-5806
Mailing Address1789 Tyler DrMonterey Park, CA 91755-4130 · (626) 487-8080
Sole ProprietorNo
Enumeration DateSeptember 18, 2009
Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
NPI 1568796803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA20106
Also ListedInternal MedicineTaxonomy 207R00000X · License 953543658 (CA)
1011 BALDWIN PARK BLVD, URGENT CARE DEPARTMENT, Baldwin Park, CA 91706

Other Names 1

Former Name (1)Ms. Lisa Sangly Lam Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Lisa Sangly Lam Pa-c 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.

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 Lisa Lam's NPI number?

The NPI number for Lisa Lam is 1568796803. It was assigned to this individual provider in the NPPES registry on September 18, 2009. The provider is also known as Ms. Lisa Sangly Lam Pa-C.

Where is Lisa Lam located?

Lisa Lam practices at 1011 Baldwin Park Blvd, Urgent Care Department Urgent Care Department, Baldwin Park, CA 91706. The listed phone number is (626) 851-1011.

What is Lisa Lam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Lam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Lam was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.