Individual provider Active NPI

Soobin Lim, MD

  • Plastic Surgery Physician
  • Monterey, CA
National Provider Identifier
1225532047
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A193288 Issued in CA
Practice address
400 Pearl St
Monterey, CA 93940-3018
Phone
(831) 718-8585
Fax
(831) 901-3641
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A193288 CA Primary

Addresses

Primary practice location

400 Pearl St
Monterey, CA 93940-3018

Mailing address

400 Pearl St
Monterey, CA 93940-3018
Phone (831) 718-8585

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
I20240320001471 CA Practitioner - Plastic and Reconstructive Surgery 4587911920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Tulane University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wendy Wong Plastic Surgery CorpGroup PAC ID 4385934645, 2 clinicians

Practice addresses (Care Compare)

400 Pearl St
Monterey, CA 93940-3018
Phone (831) 718-8585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A193288CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Wong, Plastic Surgery Corp Plastic Surgery CurrentSince Sep 20, 2025 Accepting new patients
Community Hospital of the Monterey Peninsula PastSince Sep 20, 2025 Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

400 Pearl St
Monterey, CA 93940
Phone (831) 718-8585

Organizations & group practices 2

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1225532047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PEARL ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403018",
            "telephone_number": "831-718-8585",
            "fax_number": "831-901-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PEARL ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403018",
            "telephone_number": "831-718-8585",
            "fax_number": "831-901-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SOOBIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A193288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.