Organization Active NPI

Thomas D Lim DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1083989529
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4612 Issued in CA
Legal business name
THOMAS D LIM DPM INC
Practice address
3367 W 1St St Ste 201
Los Angeles, CA 90004-6080
Phone
(213) 483-4246
Fax
(213) 483-7257
NPI assigned
Mar 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Thomas D Lim, DPMNPI 1093770729
Title
Provider
Phone
(213) 483-4246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4612 CA Primary

Addresses

Primary practice location

3367 W 1St St Ste 201
Los Angeles, CA 90004-6080

Mailing address

3367 W 1St St Ste 201
Los Angeles, CA 90004-6080
Phone (213) 483-4246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620000871 CA Part B Supplier - Clinic/Group Practice 4688965817 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3367 W 1st St
#201
Los Angeles, CA 90004
Phone (213) 483-4246

3367 W 1st St
Ste 2
Los Angeles, CA 90004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1083989529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 W 1ST ST STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046080",
            "telephone_number": "213-483-4246",
            "fax_number": "213-483-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 W 1ST ST STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046080",
            "telephone_number": "213-483-4246",
            "fax_number": "213-483-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS D LIM DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "213-483-4246",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.