Individual provider Active NPI

Steve Lim, MD

  • Family Medicine Physician
  • Vallejo, CA
National Provider Identifier
1174548481
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71526 Issued in CA
Practice address
1646 Broadway St
Vallejo, CA 94590-2405
Phone
(707) 645-8576
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71526 CA Primary

Addresses

Primary practice location

1646 Broadway St
Vallejo, CA 94590-2405

Mailing address

1646 Broadway St
Vallejo, CA 94590-2405
Phone (707) 645-8576

Other identifiers 1

IdentifierTypeStateIssuer
00A715260MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000311 CA Practitioner - Family Practice 1052410008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concepcion and Lim MD Family Practice PCGroup PAC ID 9234238288, 2 clinicians

Practice addresses (Care Compare)

1646 Broadway St
Vallejo, CA 94590-2405
Phone (707) 645-8576

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71526CAMDClinical Social Worker
A71526CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concepcion and Lim MD Family Practice PC Family Medicine CurrentSince Sep 7, 2009 Accepting new patients

Locations

1646 Broadway St
Vallejo, CA 94590
Phone (707) 645-8576

Interoperability endpoints

  • Direct secure messaging: slim13358@hpmg.direct-ci.net

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174548481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 BROADWAY ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902405",
            "telephone_number": "707-645-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 BROADWAY ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902405",
            "telephone_number": "707-645-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "STEVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A715260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.