Active NPI
Mary Jia Ling Lim, D.O.
- Ophthalmology Physician
- San Ramon, CA
National Provider Identifier
1609212208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20A14080
- Practice address
- 2301 Camino Ramon Ste 104
San Ramon, CA 94583-2029 - Phone
- (925) 277-1135
- NPI assigned
- May 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5101023729 | MI | |
| Ophthalmology Physician | 207W00000X | 20A14080 | CA | Primary |
Addresses
Primary practice location
2301 Camino Ramon Ste 104
San Ramon, CA 94583-2029
Mailing address
2301 Camino Ramon Ste 104
San Ramon, CA 94583-2029
Phone (925) 277-1135
Other names 1
- Mary J Lim
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.49 of 100
- Quality
- 78.04
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.09
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14080 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Health Medical Foundation | Current | Accepting new patients |
Locations
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
2301 Camino Ramon
Ste 104
San Ramon, CA 94583
Phone (925) 277-1135
Interoperability endpoints
- mlim332640@direct-ucsfmedicalcenter.org
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.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1609212208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON STE 104",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832029",
"telephone_number": "925-277-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CAMINO RAMON STE 104",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832029",
"telephone_number": "925-277-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MARY",
"middle_name": "JIA LING",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "5101023729",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "20A14080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "LIM",
"middle_name": "J",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.