Active NPI
Sandra Shan Lim, DO
- Psychiatry Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A13075
- Practice address
- Ucsd Department of Psychiatry
9500 Gilman Drive, 9116a
La Jolla, CA 92093-0001 - Phone
- (858) 534-4040
- Fax
- (858) 822-0231
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A13075 | CA | Primary |
Addresses
Primary practice location
Ucsd Department of Psychiatry
9500 Gilman Drive, 9116a
La Jolla, CA 92093-0001
Mailing address
Ucsd Department of Psychiatry
9500 Gilman Drive, 9116a
La Jolla, CA 92093-0001
Phone (858) 534-4040
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13075 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| UC San Diego Health | Past | Accepting new patients | |
| Ucsd | Past | Accepting new patients |
Locations
1250 6th Ave
Ste 100
San Diego, CA 92101
Phone (619) 515-2430
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 5
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 Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba City Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1023054004
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1750739116
-
- Student in an Organized Health Care Education/Training Program
- La Jolla, CA
- NPI 1730611864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1083963094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UCSD DEPARTMENT OF PSYCHIATRY",
"address_2": "9500 GILMAN DRIVE, 9116A",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920930001",
"telephone_number": "858-534-4040",
"fax_number": "858-822-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCSD DEPARTMENT OF PSYCHIATRY",
"address_2": "9500 GILMAN DRIVE, 9116A",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920930001",
"telephone_number": "858-534-4040",
"fax_number": "858-822-0231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "SANDRA",
"middle_name": "SHAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A13075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.