Individual provider Active NPI

Samantha Lim

  • Speech-Language Pathologist
  • Atascadero, CA
National Provider Identifier
1578032645
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6965 San Luis Ave
Atascadero, CA 93422-5201
Phone
(805) 591-7188
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Registered Respiratory Therapist 227900000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

6965 San Luis Ave
Atascadero, CA 93422-5201

Mailing address

2645 Bon Bon Dr
San Jose, CA 95148-2007
Phone (408) 781-8384

Other practice location 1

751 Camino Plz
San Bruno, CA 94066-3401
Phone (650) 627-8045

Other practice location 2

3111 N Tustin St Ste 100
Orange, CA 92865-1751
Phone (888) 805-0759

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Speech Therapy Inc Speech-Language Pathologist CurrentSince Aug 28, 2022 Accepting new patients

Locations

6965 San Luis Ave
Atascadero, CA 93422
Phone (805) 591-7188

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1578032645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 BON BON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482007",
            "telephone_number": "408-781-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 SAN LUIS AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225201",
            "telephone_number": "805-591-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Camino Plz",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940663401",
            "country_code": "US",
            "telephone_number": "650-627-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3111 N Tustin St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928651751",
            "country_code": "US",
            "telephone_number": "888-805-0759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.