Benzen Byron Co Lim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA62168 Issued in CA

Practice address

1086 S Fairfax Ave
Los Angeles, CA 90019-4401

Phone

(424) 258-0124

NPI assigned

Nov 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Kamran Toluie, MD, IncGroup PAC ID 6103825674, 2 clinicians

Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641
• Community Hospital of Huntington Park Hospital, Huntington Park, CA, CCN 050091
• Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

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.

• Geriheal PC

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1760014120
  Medicare reassignment Care Compare group NPD
• Kamran Toluie, MD, Inc

  • Clinical Cardiac Electrophysiology Physician
  • Beverly Hills, CA
  • NPI 1467528075
  Medicare reassignment Care Compare group
• Ghods Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1790344869
  Medicare reassignment

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

• Alta Los Angeles Hospital, Inc

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685

  Hospital

  Care Compare affiliation
• Alta Los Angeles Hospitals, Inc.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  Care Compare affiliation
• CHHP Holdings II, LLC

  • General Acute Care Hospital
  • Huntington Park, CA
  • NPI 1891059127
  Care Compare affiliation
• East la Doctors Hospital LP

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1841477973

  Hospital

  Care Compare affiliation
• Eladh, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417957473
  Care Compare affiliation
• Eladh, LP

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1720298326

  Hospital

  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1245996776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BONNIE CLAIRE DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917894197",
            "telephone_number": "626-800-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 S FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194401",
            "telephone_number": "424-258-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "BENZEN BYRON",
        "middle_name": "CO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Seung-Min Lim, MD, BSC
• Anthony Robert Lim
• Arturo Lim, M.D.
• Ban Hong Lim, PH.D.
• Becky Annie Lim, MD
• Carol Lim, LCSW
• Carolyn Kar Wai Lim, D.O.
• Ching Lan Lim, D.M.D
• Christina Hsieh Lim, D.D.S.
• Christopher Lim

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, 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 9, 2023; 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.

Verify at the official NPI Registry.