Individual provider Active NPI

Malina Lim, MD

  • Pediatrics Physician
  • Signal Hill, CA
National Provider Identifier
1801423066
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A185038 Issued in CA
Practice address
2704 E Willow St
Signal Hill, CA 90755-2217
Phone
(562) 490-9900
NPI assigned
Mar 26, 2020
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X A185038 CA Primary

Addresses

Primary practice location

2704 E Willow St
Signal Hill, CA 90755-2217

Mailing address

2704 E Willow St
Signal Hill, CA 90755-2217
Phone (562) 490-9900

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
I20240126001712 CA Practitioner - Pediatric Medicine 2769835636 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185038CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tpirc Medical Foundation Inc Pediatrics CurrentSince Nov 7, 2023 Accepting new patients
Tpirc Medical Foundation Inc Past Accepting new patients

Locations

701 E 28th St
Ste 419
Long Beach, CA 90806
Phone (562) 353-5907

2704 E Willow St
Signal Hill, CA 90755
Phone (562) 595-0203

Interoperability endpoints

  • Direct secure messaging: malina.lim.1@11920.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1801423066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-490-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552217",
            "telephone_number": "562-490-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MALINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A185038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.