Active NPI
Paul Clay Lim
- Medical Physician Assistant
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA63478
- Practice address
- 9630 Sierra Ave Ste 100
Fontana, CA 92335-2415 - Phone
- (877) 693-6266
- NPI assigned
- Jul 12, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA63478 | CA | Primary |
Addresses
Primary practice location
9630 Sierra Ave Ste 100
Fontana, CA 92335-2415
Mailing address
4720 E Atherton St Apt 23
Long Beach, CA 90815-3726
Phone (480) 865-4728
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11126 Chandler Blvd
North Hollywood, CA 91601-3228
Phone (818) 985-0044
11560 W Pico Blvd
Los Angeles, CA 90064-1520
Phone (310) 477-8285
1300 N la Brea Ave
Los Angeles, CA 90028-7504
Phone (323) 464-1336
18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323
19346 Nordhoff St
Northridge, CA 91324-2415
Phone (818) 727-2040
2090 Westwood Blvd
Los Angeles, CA 90025-6329
Phone (213) 814-4070
2300 Wilshire Blvd
Suite 104
Santa Monica, CA 90403-5863
Phone (424) 416-7900
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355
4623 Eagle Rock Blvd
Los Angeles, CA 90041-3049
Phone (213) 878-5700
5717 Melrose Ave
Los Angeles, CA 90038-3807
Phone (323) 957-2273
7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333
8000 W Sunset Blvd
Suite C110
Los Angeles, CA 90046-2439
Phone (213) 412-0400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63478 | CA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1396479614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 E ATHERTON ST APT 23",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153726",
"telephone_number": "480-865-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9630 SIERRA AVE STE 100",
"city": "FONTANA",
"state": "CA",
"postal_code": "923352415",
"telephone_number": "877-693-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "PAUL",
"middle_name": "CLAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-12",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA63478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.
- 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.