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

Tiffany He Lam, PA

Individual provider Physician Assistant · NPI 1245042167

Tiffany He Lam, PA is a Physician Assistant in Providence, Rhode Island. Qualified in 2024, 2 years ago. Practices with California Dermatology Institute PC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2025
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3095 Old Conejo Rd Ste 200, Thousand Oaks, CA 91320-2130 — (857) 389-9387

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01933 (RI)

Record details

NPI number1245042167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice California Dermatology Institute Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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