Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043853237 Individual Practitioner Male Practitioner

Alex Chadwick Van Der Ham , PA

Physician Assistant • Lake Forest, CA

Professional Overview & Biography Verified Profile Summary

Alex Van Der Ham, PA is a registered healthcare professional specializing in Physician Assistant in Lake Forest, CA. Practice services are available at 26730 TOWNE CENTRE DR STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26730 Towne Centre Dr Ste 204

Lake Forest, CA 926102842

Telephone 9493801234
Associated Practice Facility / Clinic
🏢 Abc Children's Clinic Inc. Facility NPI 1275864910

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lake Forest, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
13 Specialists

Practicing in Lake Forest, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 59204

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2575 Yorba Linda Blvd

Fullerton, CA 928311699

Phone: 7145895123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Marjan Monfared , MD

Personal Emergency Response Attendant

NPI 1932380219

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 08, 2021

Registered at 26730 TOWNE CENTRE DR STE 204, LAKE FOREST, CA 926102842 (Tel: 9493801234)

📍
Updated Business Mailing Address April 08, 2021

Registered at 26730 TOWNE CENTRE DR STE 204, FOOTHILL RANCH, CA 926102842 (Tel: 7145895123)

👤
Provider Name / Credentials Updated April 08, 2021

Recorded as ALEX VAN DER HAM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Physician Assistant (License #59204 in CA)

NPI Profile Active October 21, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2019

Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311699 (Tel: 7145895123)

📍
Updated Business Mailing Address October 21, 2019

Registered at 2575 YORBA LINDA BLVD, FULLERTON, CA 928311699 (Tel: 7145895123)

👤
Provider Name / Credentials Updated October 21, 2019

Recorded as ALEX VAN DER HAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043853237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2019
Last Update: April 08, 2021
Sole Proprietor: Yes

Mailing Address

26730 Towne Centre Dr Ste 204

Foothill Ranch, CA 926102842

Phone: 7145895123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.