Individual provider Active NPI

Byung Chan Lim, L.AC

  • Acupuncturist
  • San Dimas, CA
National Provider Identifier
1255923348
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC14669 Issued in CA
Practice address
319 N San Dimas Ave Ste B
San Dimas, CA 91773-2658
Phone
(909) 837-0552
NPI assigned
Feb 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC14669 CA Primary

Addresses

Primary practice location

319 N San Dimas Ave Ste B
San Dimas, CA 91773-2658

Mailing address

319 N San Dimas Ave Ste B
San Dimas, CA 91773-2658
Phone (909) 837-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC14669CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Acupuncture Pain Mangement Specialist Acupuncturist CurrentSince Mar 17, 2024 Accepting new patients

Locations

319 N San Dimas Ave
Ste B
San Dimas, CA 91773
Phone (909) 837-0552

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1255923348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N SAN DIMAS AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732658",
            "telephone_number": "909-837-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N SAN DIMAS AVE STE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732658",
            "telephone_number": "909-837-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "BYUNG CHAN",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.