Active NPI
Samantha Lim
- Speech-Language Pathologist
- Atascadero, CA
National Provider Identifier
1578032645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Speech Therapy Inc | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Atascadero, CA
- NPI 1306234778
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.