Active NPI
Ryan Loreno Lym, M.D.
- Pediatrics Physician
- La Jolla, CA
National Provider Identifier
1114389491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A152493
- Practice address
- 7300 Girard Ave Ste 106
La Jolla, CA 92037-5138 - Phone
- (858) 459-4351
- Fax
- (858) 459-4399
- NPI assigned
- Mar 24, 2016
- 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 | A152493 | CA | Primary |
Addresses
Primary practice location
7300 Girard Ave Ste 106
La Jolla, CA 92037-5138
Mailing address
3880 Murphy Canyon Rd Ste 200
San Diego, CA 92123-4411
Other practice location 1
757 Westwood Plz
B711 Rrumc
Los Angeles, CA 90095-7419
Phone (310) 267-9129
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180613000794 | CA | Order and Referring Only - Pediatric Medicine | 5294080362 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152493 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
Interoperability endpoints
- rlym357511@scrippshlth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1114389491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 MURPHY CANYON RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 GIRARD AVE STE 106",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375138",
"telephone_number": "858-459-4351",
"fax_number": "858-459-4399"
}
],
"practiceLocations": [
{
"address_1": "757 Westwood Plz",
"address_2": "B711 RRUMC",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900957419",
"country_code": "US",
"telephone_number": "310-267-9129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYM",
"first_name": "RYAN",
"middle_name": "LORENO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A152493",
"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 Oct 31, 2019; 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.