Lysander Jim, M.D. Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3985886 Issued in CA

Legal business name

LYSANDER JIM, M.D. INC

Practice address

452 N Altadena Dr
Pasadena, CA 91107-2536

Phone

(626) 800-3860

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lysander Jim, M.D.NPI 1457642795

Title

President

Phone

(626) 800-3860

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lysander Jim, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Pasadena, CA
  • NPI 1457642795
  NPD Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1639619414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CAMINO VERDE",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910304139",
            "telephone_number": "626-800-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072536",
            "telephone_number": "626-800-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSANDER JIM, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "JIM",
        "authorized_official_first_name": "LYSANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-800-3860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "3985886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malina Lee Anne Lynn
• May T Lynn, M.D.
• Chelsea Nicole Lyon
• Richard Scott Lyon, PH.D.
• Carolyn Christine Lyons, PH.D.
• Kathleen Ann Lytal, M.D.
• Ashley Marie Lytwyn, MS, RD, LDN
• Lyvers & Associates, Psychological Services, Inc.
• Marguery Amelie Lyvers, PH.D.
• LZ Hospice Care Inc

• Clinic/Center in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.