Individual provider Active NPI

Jung-Eun Jane Lim, MD

  • Emergency Medicine Physician
  • Norwalk, CA
National Provider Identifier
1689089195
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
138638 Issued in CA
Practice address
13100 Studebaker Rd
Norwalk, CA 90650-2531
Phone
(562) 868-3751
NPI assigned
Jun 23, 2014
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 138638 CA Primary

Addresses

Primary practice location

13100 Studebaker Rd
Norwalk, CA 90650-2531

Mailing address

8504 Firestone Blvd # 423
Downey, CA 90241-4926

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210001584 CA Practitioner - Emergency Medicine 3870837388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Emergency Medical GroupGroup PAC ID 4688097066, 24 clinicians

Practice addresses (Care Compare)

1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 514-5350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
83.88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138638CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medical Group Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Coast Plaza Emergency Physicians Group Inc Emergency Medicine CurrentSince Feb 25, 2019 Accepting new patients

Locations

13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 2

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 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1689089195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 FIRESTONE BLVD # 423",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 STUDEBAKER RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502531",
            "telephone_number": "562-868-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUNG-EUN",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "138638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.