Active NPI
Charles Myaing Lim, M.D.
- Internal Medicine Physician
- Lancaster, CA
National Provider Identifier
1205947231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A42301
- Practice address
- 43839 15TH St W
Lancaster, CA 93534-4756 - Phone
- (661) 945-5984
- Fax
- (661) 726-3890
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1720196702
CA, Internal Medicine
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
-
- Specialist
- Stockton, CA
- NPI 1962413740
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- High Desert Medical Corporation
Practice addresses (Care Compare)
43839 15TH St W
Lancaster, CA 93534-4756
Phone (661) 945-5984
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 |
|---|---|---|---|---|
| I20100922001213 | CA | Practitioner - Internal Medicine | 0749194108 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42301 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Medical Group | Internal Medicine | Current | Accepting new patients |
| Kenneth V. Miselis, M.D. Inc. | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Antelope Valley Health Care District | Past | Accepting new patients |
Locations
43839 15th St W
Ste 101
Lancaster, CA 93534
Phone (661) 726-6050
43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984
Interoperability endpoints
- charles.lim@direct.hdmg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A42301 | CA | Primary |
| Hospitalist Physician | 208M00000X | A42301 | CA |
Addresses
Primary practice location
43839 15TH St W
Lancaster, CA 93534-4756
Mailing address
PO Box 7007
Lancaster, CA 93539-7007
Phone (661) 945-5984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A423010 | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1205947231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7007",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935397007",
"telephone_number": "661-945-5984",
"fax_number": "661-726-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43839 15TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344756",
"telephone_number": "661-945-5984",
"fax_number": "661-726-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "CHARLES",
"middle_name": "MYAING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A42301",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A42301",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A423010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.
- 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.