Active NPI
Neil L. Halim, MD Inc.
- Family Medicine Physician
- San Marcos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C53327
- Legal business name
- NEIL L. HALIM, MD INC.
- Practice address
- 1030 La Bonita Dr
Suite 316
San Marcos, CA 92078-5291 - Phone
- (760) 744-9626
- Fax
- (760) 744-0751
- NPI assigned
- Mar 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil L Halim, M.D.
- Title
- Owner
- Phone
- (318) 230-5487
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C53327 | CA | Primary |
Addresses
Primary practice location
1030 La Bonita Dr
Suite 316
San Marcos, CA 92078-5291
Mailing address
1030 La Bonita Dr
Suite 316
San Marcos, CA 92078-5291
Phone (760) 744-9626
Other names 1
- Lake San Marcos Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2042367 | Lake San Marcos Family Medicine | Provider-performed microscopy | Jun 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
1030 La Bonita Dr
Ste 316
San Marcos, CA 92078
Phone (760) 744-9626
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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": "1330560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1124392683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 LA BONITA DR",
"address_2": "SUITE 316",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920785291",
"telephone_number": "760-744-9626",
"fax_number": "760-744-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 LA BONITA DR",
"address_2": "SUITE 316",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920785291",
"telephone_number": "760-744-9626",
"fax_number": "760-744-0751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIL L. HALIM, MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "HALIM",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-230-5487",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "C53327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake San Marcos Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.