Active NPI
Jonathan Peter Lim, DO
- Pediatrics Physician
- San Francisco, CA
National Provider Identifier
1770163925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A25171
- Practice address
- 1825 4TH St FL 6
San Francisco, CA 94143-2350 - Phone
- (415) 353-7337
- NPI assigned
- Apr 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A25171 | CA | Primary |
| Allergy & Immunology Physician | 207K00000X | DR.0072889 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | DR.0072889 | CO | |
| Pediatric Allergy/Immunology Physician | 2080P0201X | 20A25171 | CA |
Addresses
Primary practice location
1825 4TH St FL 6
San Francisco, CA 94143-2350
Mailing address
7630 E Warren Cir Apt 7-107
Denver, CO 80231-5337
Phone (714) 801-1799
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (714) 801-1799
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 Compare- Specialty
- Pediatric Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 The Embarcadero
San Francisco, CA 94143-5200
7630 E Warren Cir
Denver, CO 80231-3248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
Interoperability endpoints
- jlim287618@direct.childrenscolorado.org
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1770163925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7630 E WARREN CIR APT 7-107",
"city": "DENVER",
"state": "CO",
"postal_code": "802315337",
"telephone_number": "714-801-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 4TH ST FL 6",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432350",
"telephone_number": "415-353-7337"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "714-801-1799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "JONATHAN",
"middle_name": "PETER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A25171",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CO",
"license": "DR.0072889",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "DR.0072889",
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "CA",
"license": "20A25171",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.