Individual provider Active NPI

Dandrich Yuan Lim, MD

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1699396663
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A189653 Issued in CA
Practice address
880 N State St
Hemet, CA 92543-1459
Phone
(951) 766-2450
Fax
(951) 658-1608
NPI assigned
May 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A189653 CA Primary

Addresses

Primary practice location

880 N State St
Hemet, CA 92543-1459

Mailing address

880 N State St
Hemet, CA 92543-1459
Phone (951) 766-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016002033 CA Practitioner - Family Practice 3274988928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, shared by 16 NPIs, 190 clinicians

Practice addresses (Care Compare)

880 N State St
Hemet, CA 92543-1459
Phone (951) 766-2450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A189653CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg, a Professional Medical Corporation Family Medicine CurrentSince Sep 11, 2023 Accepting new patients

Locations

1658 W Valley Blvd
Ste 120
Alhambra, CA 91803

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

1800 Sullivan Ave
Rm 105
Daly City, CA 94015
Phone (650) 755-2690

3975 Jackson St
Ste 102
Riverside, CA 92503
Phone (951) 335-8054

Interoperability endpoints

  • Direct secure messaging: dlim1222539@direct.llu.edu

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.

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1699396663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431459",
            "telephone_number": "951-766-2450",
            "fax_number": "951-658-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431459",
            "telephone_number": "951-766-2450",
            "fax_number": "951-658-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "DANDRICH",
        "middle_name": "YUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A189653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.