Individual provider Active NPI

Lim L Taw, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1720205008
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A30992 Issued in CA
Practice address
1500 S Central Ave Ste 314
Glendale, CA 91204-2573
Phone
(818) 241-2106
Fax
(818) 241-8730
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A30992 CA Primary

Addresses

Primary practice location

1500 S Central Ave Ste 314
Glendale, CA 91204-2573

Mailing address

1500 S Central Ave Ste 314
Glendale, CA 91204-2573
Phone (818) 241-2106

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
I20071222000037 CA Practitioner - Internal Medicine 2163512567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 S Central Ave
Suite 314
Glendale, CA 91204-2573
Phone (818) 241-2106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30992CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lim L Taw Medical Corporation Internal Medicine CurrentSince Feb 20, 2002 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1500 S Central Ave
Ste 314
Glendale, CA 91204
Phone (818) 241-2106

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: limtaw.157.114@securemailmdscloud.mdsynergy.com

Organizations & group practices 4

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 3

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1720205008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 314",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042573",
            "telephone_number": "818-241-2106",
            "fax_number": "818-241-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE STE 314",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042573",
            "telephone_number": "818-241-2106",
            "fax_number": "818-241-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAW",
        "first_name": "LIM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.