Individual provider Active NPI

Jongoh Lim, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1003547225
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A207592 Issued in CA
Practice address
1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone
(916) 731-7728
Fax
(916) 731-7815
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A207592 CA Primary

Addresses

Primary practice location

1651 Exposition Blvd
Sacramento, CA 95815-5149

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

2323 Memorial Ave Ste 10
Lynchburg, VA 24501-2652
Phone (434) 200-5200

Other practice location 2

903 W Martin St # MS 49-2
San Antonio, TX 78207-0903
Phone (201) 358-5909

Other practice location 3

3860 IH 10 East Houston St.
San Antonio, TX 78220-4063
Phone (210) 644-5020

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherVAFAMILY MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250904003795 TX Practitioner - Family Practice 8820470461 Reassigns benefits to 1 organization
I20260413002963 CA Practitioner - Family Practice 8820470461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

2800 L St
Sacramento, CA 95816-5616

903 W Martin St
Ms 49 2
San Antonio, TX 78207-3110
Phone (210) 358-3441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A207592CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Family Medicine CurrentSince Aug 18, 2025 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Past Accepting new patients
Sutter Valley Medical Foundation Past Accepting new patients

Locations

3860 E Interstate Highway 10
San Antonio, TX 78220
Phone (210) 644-5000

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: jlim764215@uhssa.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1003547225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 EXPOSITION BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958155149",
            "telephone_number": "916-731-7728",
            "fax_number": "916-731-7815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Memorial Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245012652",
            "country_code": "US",
            "telephone_number": "434-200-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 W Martin St # MS 49-2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782070903",
            "country_code": "US",
            "telephone_number": "201-358-5909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 IH 10 East Houston St.",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782204063",
            "country_code": "US",
            "telephone_number": "210-644-5020",
            "fax_number": "210-702-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JONGOH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A207592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "207Q00000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.