Individual provider Active NPI

Trinidad Atayoc Lim, M.D.

  • Nephrology Physician
  • Yuma, AZ
National Provider Identifier
1598716979
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
33462 Issued in AZ
Practice address
1220 W 24TH St
Suite1
Yuma, AZ 85364-8705
Phone
(928) 329-8331
Fax
(928) 329-8528
NPI assigned
May 12, 2006
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 33462 AZ Primary

Addresses

Primary practice location

1220 W 24TH St
Suite1
Yuma, AZ 85364-8705

Mailing address

1220 W 24TH St Ste 1
Yuma, AZ 85364-8705
Phone (928) 329-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000069 AZ Practitioner - NephrologyPractitioner - Internal Medicine 8022903269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Nephrology PCGroup PAC ID 6204813843, 9 clinicians

Practice addresses (Care Compare)

1220 W 24TH St
Suite 1
Yuma, AZ 85364-8705
Phone (928) 329-8331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Nephrology PC Nephrology CurrentSince Jan 1, 2005 Accepting new patients
Yuma Regional Medical Center Past Accepting new patients
Medical Diagnostic Imaging Group LTD Past Accepting new patients

Locations

11871 S Fortuna Rd
Yuma, AZ 85367
Phone (928) 329-8331

1197 S Redondo Center Dr
Yuma, AZ 85365
Phone (928) 329-4340

1220 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 259-2734

2130 W 24th St
Yuma, AZ 85364
Phone (928) 783-2365

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2500 S 8th Ave
Ste 102
Yuma, AZ 85364
Phone (928) 314-9240

7179 E 31st Pl
Yuma, AZ 85365
Phone (928) 317-0517

Organizations & group practices 3

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 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1598716979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W 24TH ST STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648705",
            "telephone_number": "928-329-8331",
            "fax_number": "928-329-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W 24TH ST",
            "address_2": "SUITE1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648705",
            "telephone_number": "928-329-8331",
            "fax_number": "928-329-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "TRINIDAD",
        "middle_name": "ATAYOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "33462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.