Active NPI
Grace E Lim, LAC
- Acupuncturist
- Mission Hills, CA
National Provider Identifier
1356663553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC12985
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC12985 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Acupuncturist
- Mission Hills, CA
- NPI 1730570615
-
- Interventional Pain Medicine Physician
- West Hollywood, CA
- NPI 1245888775
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.