Individual provider Active NPI

Grace E Lim, LAC

  • Acupuncturist
  • Mission Hills, CA
National Provider Identifier
1356663553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC12985 Issued in CA
Practice address
15501 San Fernando Mission Blvd Ste 311
Mission Hills, CA 91345-1374
Phone
(818) 403-6130
Fax
(818) 403-6138
NPI assigned
Feb 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC12985 CA Primary

Addresses

Primary practice location

15501 San Fernando Mission Blvd Ste 311
Mission Hills, CA 91345-1374

Mailing address

15501 San Fernando Mission Blvd Ste 311
Mission Hills, CA 91345-1374
Phone (818) 403-6130

Other practice location 1

8215 Van Nuys Blvd
suite 306
Panorama City, CA 91402-4810
Phone (818) 376-0000

Other practice location 2

8215 Van Nuys Blvd
suite 306
Panorama City, CA 91402-4810
Phone (818) 376-0000

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
AC12985CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Healthcare Inc. Acupuncturist Past Accepting new patients
La Pain and Performance Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20123/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356663553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 SAN FERNANDO MISSION BLVD STE 311",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451374",
            "telephone_number": "818-403-6130",
            "fax_number": "818-403-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 SAN FERNANDO MISSION BLVD STE 311",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451374",
            "telephone_number": "818-403-6130",
            "fax_number": "818-403-6138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8215 Van Nuys Blvd",
            "address_2": "suite 306",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024810",
            "country_code": "US",
            "telephone_number": "818-376-0000",
            "fax_number": "818-376-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8215 Van Nuys Blvd",
            "address_2": "suite 306",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024810",
            "country_code": "US",
            "telephone_number": "818-376-0000",
            "fax_number": "818-376-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "GRACE",
        "middle_name": "E",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.