Active NPI
Edward Mina Lim, MD
- Psychiatry Physician
- Bellevue, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28890
- Practice address
- 2231 Lincoln Rd
Bellevue, NE 68005-3907 - Phone
- (402) 291-1203
- Fax
- (402) 291-3915
- NPI assigned
- Jul 14, 2006
- Last updated
- Apr 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A74054 | CA | |
| Psychiatry Physician | 2084P0800X | 28890 | NE | Primary |
Addresses
Primary practice location
2231 Lincoln Rd
Bellevue, NE 68005-3907
Mailing address
2201 Francisco Dr Ste 140-129
El Dorado Hills, CA 95762-3713
Phone (510) 755-5854
Other practice location 1
390 40th St
Oakland, CA 94609-2633
Phone (510) 379-4179
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74054 | CA | MD | Pharmacist |
| A74054 | CA | MD | Psychiatry Physician |
| 28890 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Community Services, Inc. | Single Specialty | Current | Accepting new patients |
| Bay Area Community Services, Inc. | Single Specialty | Current | Accepting new patients |
| Telecare Corporation | Current | Accepting new patients | |
| Alameda Health System | Single Specialty | Current | Accepting new patients |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Single Specialty | Current | Accepting new patients |
| Alameda Health System | Single Specialty | Current | Accepting new patients |
| Bay Area Community Services, Inc. | Current | Accepting new patients | |
| Traditions Psychiatry Group, P.C | Single Specialty | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
15400 Foothill Blvd
Bldg E
Castro Valley, CA 94578
Phone (510) 895-4200
2201 Francisco Dr
Ste 140129
El Dorado Hills, CA 95762
Phone (510) 755-5854
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
280 17th St
Oakland, CA 94612
Phone (510) 238-5020
390 40th St
Oakland, CA 94609
Phone (510) 247-8235
559 16th St
Oakland, CA 94612
Phone (510) 318-6112
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1235349572
Single Specialty
-
dba Gateway To Recovery
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
Single Specialty
-
- Public Health or Welfare Agency
- Fairfield, CA
- NPI 1508072588
-
dba Newark Health Center
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
Single Specialty
-
dba South County Wellness Center
- Community/Behavioral Health Agency
- Fremont, CA
- NPI 1104036383
Single Specialty
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1982334561
-
dba Valley Vista Permanent Supportive Housing
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
dba Sausal Creek Outpatient Clinic
- Adult Mental Health Clinic/Center
- Oakland, CA
- NPI 1629154786
-
dba Traditions Behavioral Health
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1386660447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 FRANCISCO DR STE 140-129",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623713",
"telephone_number": "510-755-5854",
"fax_number": "844-461-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 LINCOLN RD",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053907",
"telephone_number": "402-291-1203",
"fax_number": "402-291-3915"
}
],
"practiceLocations": [
{
"address_1": "390 40th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946092633",
"country_code": "US",
"telephone_number": "510-379-4179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "EDWARD",
"middle_name": "MINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A74054",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "28890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.