Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Lawrence Ham, PA-C

Individual provider Physician Assistant · NPI 1235806621

Mr. Lawrence Ham, PA-C is a Physician Assistant in Fremont, California. Qualified in 2022, 4 years ago. Practices with North East Medical Services, a 143-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1999 Mowry Ave Ste F
Fremont, CA 94538-1731
Phone: (510) 770-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61234 (CA)

Record details

NPI number1235806621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 24, 2021
Last updated in NPPESJanuary 12, 2025
Certification dateJanuary 9, 2025
Mailing addressPo Box 2092, Castro Valley, CA 94546-0092

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North East Medical Services — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fremont