Active NPI
Nuvation Pain Group
- Interventional Pain Medicine Physician
- Buena Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- NUVATION PAIN GROUP
- Practice address
- 5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501 - Phone
- (714) 676-5541
- Fax
- (714) 676-5542
- NPI assigned
- Aug 20, 2015
- Last updated
- Aug 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip H Lim, DO, MPH
- Title
- Ceo
- Phone
- (714) 676-5541
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501
Mailing address
5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501
Phone (714) 676-5541
Other practice location 1
505 S Virgil Ave Ste 206
Los Angeles, CA 90020-1443
Phone (213) 622-0021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2164821 | Nuvation Pain Group | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Buena Park, CA
- NPI 1346792462
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Buena Park, CA
- NPI 1023227154
-
- Interventional Pain Medicine Physician
- Buena Park, CA
- NPI 1427580729
-
- Pain Medicine (Anesthesiology) Physician
- Irvine, CA
- NPI 1962652875
-
- Family Nurse Practitioner
- Buena Park, CA
- NPI 1386370419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1346616695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5832 BEACH BLVD UNIT 209",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906215501",
"telephone_number": "714-676-5541",
"fax_number": "714-676-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5832 BEACH BLVD UNIT 209",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906215501",
"telephone_number": "714-676-5541",
"fax_number": "714-676-5542"
}
],
"practiceLocations": [
{
"address_1": "505 S Virgil Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900201443",
"country_code": "US",
"telephone_number": "213-622-0021",
"fax_number": "714-676-5542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NUVATION PAIN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-20",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-676-5541",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO, MPH"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.