Active NPI
Perry F Lim
- Pediatrics Physician
- San Jose, CA
National Provider Identifier
1033134465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A53996
- Practice address
- 1206 N Capitol Ave
Suite 204
San Jose, CA 95132-2572 - Phone
- (408) 929-2276
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A53996 | CA | Primary |
Addresses
Primary practice location
1206 N Capitol Ave
Suite 204
San Jose, CA 95132-2572
Mailing address
198 Douglas CT
Milpitas, CA 95035-7724
Phone (408) 263-3076
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A53996 | Other | CA | LICENSE NUMBER |
| 0430935 | Medicaid | CA | |
| 00A539960 | Other | CA | PROVIDER NBR |
Other names 1
- Dr. Perry F Lim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53996 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Past | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| O'Connor Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- plim42032@santaclaravalley.direct-ci.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- Critical Access Hospital
- Delhi, NY
- NPI 1801975156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033134465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 DOUGLAS CT",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950357724",
"telephone_number": "408-263-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 N CAPITOL AVE",
"address_2": "SUITE 204",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951322572",
"telephone_number": "408-929-2276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "PERRY",
"middle_name": "F",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A53996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A53996",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0430935",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NBR",
"identifier": "00A539960",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PERRY",
"last_name": "LIM",
"middle_name": "F",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.