Individual provider Active NPI

Solinda Lim, NP

  • Family Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1306509344
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017515 Issued in CA
Practice address
675 24TH Ave
Santa Cruz, CA 95062-4205
Phone
(831) 475-6323
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017515 CA Primary

Addresses

Primary practice location

675 24TH Ave
Santa Cruz, CA 95062-4205

Mailing address

675 24TH Ave
Santa Cruz, CA 95062-4205
Phone (831) 475-6323

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331002380 CA Practitioner - Nurse Practitioner 8527433788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Solution IncGroup PAC ID 3476969031, 12 clinicians

Practice addresses (Care Compare)

675 24TH Ave
Santa Cruz, CA 95062-4205
Phone (832) 618-8479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017515CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Solution Inc. CurrentSince Mar 1, 2023 Accepting new patients
Emeryville Occupational Medical Center PastSince Oct 1, 2021 Accepting new patients
Agile Occupational Medicine, PC PastSince Oct 9, 2022 Accepting new patients

Locations

1355 Clayton Rd
San Jose, CA 95127
Phone (408) 251-3070

675 24th Ave
Santa Cruz, CA 95062
Phone (650) 283-0611

Organizations & group practices 3

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1306509344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 24TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624205",
            "telephone_number": "831-475-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 24TH AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624205",
            "telephone_number": "831-475-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SOLINDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.