Individual provider Active NPI

Rosana Mendoza Lim-Javate, M.D.

  • Family Medicine Physician
  • Lebanon, MO
National Provider Identifier
1083696314
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002016794 Issued in MO
Practice address
341 Hospital Dr.
Family Health Associates, P.C.
Lebanon, MO 65536-7152
Phone
(417) 588-3918
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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 2002016794 MO Primary

Addresses

Primary practice location

341 Hospital Dr.
Family Health Associates, P.C.
Lebanon, MO 65536-7152

Mailing address

341 Hospital Dr.
Family Health Associates, P.C.
Lebanon, MO 65536-7152
Phone (417) 588-3918

Other identifiers 1

IdentifierTypeStateIssuer
209210400MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002016794MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California Barstow CurrentSince Feb 1, 2023 Accepting new patients
Ideal Health Care and Medical Clinic, Inc. Past Accepting new patients
Arnel M Joaquin, MD, Inc. Past Accepting new patients

Locations

100 Veterans Pkwy
Barstow, CA 92311
Phone (760) 252-6200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1083696314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 HOSPITAL DR.",
            "address_2": "FAMILY HEALTH ASSOCIATES, P.C.",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655367152",
            "telephone_number": "417-588-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 HOSPITAL DR.",
            "address_2": "FAMILY HEALTH ASSOCIATES, P.C.",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655367152",
            "telephone_number": "417-588-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM-JAVATE",
        "first_name": "ROSANA",
        "middle_name": "MENDOZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002016794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209210400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.