Individual provider Active NPI

Dylan Angeli Lim, NP

  • Family Nurse Practitioner
  • Danville, CA
National Provider Identifier
1417745126
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033632 Issued in CA
Practice address
619 Dunhill Dr Ste 100
Danville, CA 94506-1353
Phone
(925) 640-8627
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95284465 CA
Family Nurse Practitioner 363LF0000X 358408 NY
Family Nurse Practitioner 363LF0000X 95033632 CA Primary

Addresses

Primary practice location

619 Dunhill Dr Ste 100
Danville, CA 94506-1353

Mailing address

619 Dunhill Dr
Danville, CA 94506-1353
Phone (213) 640-7672

Other practice location 1

710 W 168th St Fl 4
New York, NY 10032-3726
Phone (212) 305-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116002410 NY Practitioner - Nurse Practitioner 0143707463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

161 Fort Washington Ave
New York, NY 10032-3729
Phone (212) 305-8559

710 W 168TH St
New York, NY 10032-3726
Phone (212) 305-7346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95284465CAMDRegistered Nurse
95033632CAMDFamily Nurse Practitioner
358408NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Dec 13, 2025 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 13, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Trustees of Columbia University in the Department of Otolaryngology Past Accepting new patients

Locations

12 Studio Arc
Bronxville, NY 10708
Phone (914) 202-0135

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3090

5141 Broadway
New York, NY 10034
Phone (212) 932-4000

710 W 168th St
New York, NY 10032
Phone (212) 305-0217

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

710 W 168th St
Fl 4
New York, NY 10032
Phone (212) 304-7190

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

155 White Plains Rd
Tarrytown, NY 10591
Phone (914) 332-7571

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1417745126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DUNHILL DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061353",
            "telephone_number": "213-640-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DUNHILL DR STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061353",
            "telephone_number": "925-640-8627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 W 168th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323726",
            "country_code": "US",
            "telephone_number": "212-305-9758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "DYLAN",
        "middle_name": "ANGELI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95284465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.