Vincent Phuoc Lim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6326 Vesper Ave
Van Nuys, CA 91411-2339

Phone

(818) 779-1500

Fax

(818) 779-1551

NPI assigned

Jan 30, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Divine Hospice Services, Inc.

  • Community Based Hospice Care Agency
  • Los Angeles, CA
  • NPI 1154943041
  NPD (past)
• Osf Medical Group of California, Inc

  dba Spine and Orthopedic Center

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
  • NPI 1629198742

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1194148882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CARRILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011460",
            "telephone_number": "805-563-3307",
            "fax_number": "805-563-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 VESPER AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112339",
            "telephone_number": "818-779-1500",
            "fax_number": "818-779-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "VINCENT",
        "middle_name": "PHUOC",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lightway Home Health, Inc.
• Milton Lilly
• Lilypad Therapy LLC
• James H Lim, D.D.S.
• Michael Lim, PT
• Lisa Lima, RN, PNP, CNS
• Jose Antonio Limas
• April Limayo
• Christopher Martin Limon, BA
• Elizabeth Lin

• Physician Assistant in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.