Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alex Chadwick Van der Ham, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043853237

Alex Chadwick Van der Ham, PA is a Student in an Organized Health Care Education/Training Program in Lake Forest, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

26730 Towne Centre Dr Ste 204
Lake Forest, CA 92610-2842
Phone: (949) 380-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2575 Yorba Linda Blvd, Fullerton, CA 92831-1699 — (714) 589-5123

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59204 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043853237
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 21, 2019
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

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