Individual provider Active NPI

Thomas D Lim, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1093770729
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4612 Issued in CA
Practice address
3367 W 1St St Ste 201
Los Angeles, CA 90004-6080
Phone
(213) 483-4246
Fax
(213) 483-7257
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712001141 CA Practitioner - Podiatry 2365415650 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Podiatry ServicesGroup PAC ID 9133662786, 3 clinicians

Practice addresses (Care Compare)

1510 S Central Ave
Suite 120
Glendale, CA 91204-2576
Phone 8182423668207

2445 McCabe Way
Suite 130
Irvine, CA 92614-4299
Phone (714) 404-5641

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions98
Removal of nail tissue546
Removal or shaving of skin growth451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4612CAMDPodiatrist
4612CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald J Belczyk, DPM Inc. CurrentSince Dec 24, 2016 Accepting new patients
Ronald J Belczyk, DPM Inc. CurrentSince Dec 24, 2016 Accepting new patients
Optimum Podiatry Services CurrentSince Oct 1, 2025 Accepting new patients
My Foot Clinic, Inc. Podiatrist CurrentSince Nov 1, 2022 Accepting new patients
Thomas Lim Podiatry Group, Inc CurrentSince Mar 21, 2024 Accepting new patients
Thomas D Lim DPM Inc Podiatrist CurrentSince Mar 9, 2010 Accepting new patients
Robert Lifson, M.D., Inc. Past Accepting new patients
Optimum Podiatry Services Inc PastSince May 7, 2024 Accepting new patients
Shawn S Rabbani DPM Inc Podiatrist PastSince Nov 1, 2022 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

18022 Pioneer Blvd
Artesia, CA 90701
Phone (562) 402-3668

1510 S Central Ave
Ste 120
Glendale, CA 91204
Phone (818) 242-3668

2445 McCabe Way
Ste 130
Irvine, CA 92614
Phone (714) 404-5641

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

2711 W Sunset Blvd
Los Angeles, CA 90026
Phone (213) 483-4246

18909 Sherman Way
Ste B
Reseda, CA 91335
Phone (818) 344-6300

4911 Van Nuys Blvd
Ste 100
Van Nuys, CA 91403
Phone (818) 341-7243

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thomas.lim.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1093770729",
    "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": {
        "last_name": "LIM",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.