Individual provider Active NPI

Phillip H Lim, D.O., MPH

  • Interventional Pain Medicine Physician
  • Buena Park, CA
National Provider Identifier
1023227154
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A9128 Issued in CA
Practice address
5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501
Phone
(714) 676-5541
Fax
(714) 676-5542
NPI assigned
May 22, 2007
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A9128 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X 20A9128 CA
Interventional Pain Medicine Physician 208VP0014X 20A9128 CA Primary

Addresses

Primary practice location

5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501

Mailing address

5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501
Phone (714) 676-5541

Other practice location 1

505 S Virgil Ave Ste 206
Los Angeles, CA 90020-1443
Phone (213) 622-0021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000197 CA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 8224195276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
College of Osteo Med of the Pacific at Pomona, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvation Pain GroupGroup PAC ID 1254632938, 2 clinicians

Practice addresses (Care Compare)

505 S Virgil Ave
Suite 206
Los Angeles, CA 90020-1443
Phone (213) 622-0021

5832 Beach Blvd
Unit 209
Buena Park, CA 90621-5501
Phone (714) 676-5541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.53 of 100Reported as group
Quality
74.43
Promoting interoperability
99
Improvement activities
40
Cost
68.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237476MAMDPharmacist
20A9128CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Beach Surgery Center CurrentSince Jul 27, 2018 Accepting new patients
Nuvation Pain Group Interventional Pain Medicine CurrentSince Oct 1, 2018 Accepting new patients
Nuvation Pain Group CurrentSince Jun 22, 2015 Accepting new patients
St Jude Hospital Inc Interventional Pain Medicine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Xcelerate Physical Therapy Inc. Past Accepting new patients
Cha Hollywood Medical Center, LP Interventional Pain Medicine Past Accepting new patients
Hawaii Pain Specialists LLC Past Accepting new patients
Samaritan Anesthesiology Medical Group Anesthesiology PastSince Sep 23, 2024 Accepting new patients

Locations

5832 Beach Blvd
Unit 209
Buena Park, CA 90621
Phone (714) 646-5541

5832 Beach Blvd
Unit 210
Buena Park, CA 90621
Phone (714) 261-9477

505 S Virgil Ave
Ste 206
Los Angeles, CA 90020
Phone (213) 622-0021

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: philliplim@2478.securemail.prognocis.com

Organizations & group practices 9

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

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1023227154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 209",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-676-5541",
            "fax_number": "714-676-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 209",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-676-5541",
            "fax_number": "714-676-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Virgil Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201443",
            "country_code": "US",
            "telephone_number": "213-622-0021",
            "fax_number": "714-676-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "PHILLIP",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9128",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A9128",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A9128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.