Individual provider Active NPI

Cynthia Limon, PA

  • Physician Assistant
  • Fullerton, CA
National Provider Identifier
1558009332
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61010 Issued in CA
Practice address
101 Laguna Rd Ste 100
Fullerton, CA 92835-3601
Phone
(714) 992-5350
NPI assigned
May 23, 2022
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61010 CA Primary

Addresses

Primary practice location

101 Laguna Rd Ste 100
Fullerton, CA 92835-3601

Mailing address

101 Laguna Rd Ste 100
Fullerton, CA 92835-3601
Phone (714) 992-5350

Other practice location 1

1414 S Grand Ave Ste 380
Los Angeles, CA 90015
Phone (213) 743-9000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920002869 CA Practitioner - Physician Assistant 4486039906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

101 Laguna Rd
Suite 100
Fullerton, CA 92835-3601
Phone (714) 992-5350

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61010CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Oct 2, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Oct 2, 2023 Accepting new patients
Providence Medical Foundation Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

15855 Pomona Rincon Rd
Chino Hills, CA 91709
Phone (909) 264-8666

101 Laguna Rd
Ste 100
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

363 S Main St
Ste 345
Orange, CA 92868
Phone (714) 835-8715

2501 E Chapman Ave
Ste 400
Orange, CA 92869
Phone (714) 628-6642

4300 Rose Dr
Yorba Linda, CA 92886
Phone (714) 528-4211

Interoperability endpoints

  • Direct secure messaging: climon3036450@oc.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1558009332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353601",
            "telephone_number": "714-992-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAGUNA RD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353601",
            "telephone_number": "714-992-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 S Grand Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90015",
            "country_code": "US",
            "telephone_number": "213-743-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMON",
        "first_name": "CYNTHIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.