Lim Family Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48096 Issued in CA

Legal business name

LIM FAMILY MEDICAL CORPORATION

Practice address

638 Webster St
450
Oakland, CA 94607-4168

Phone

(510) 832-8819

Fax

(510) 835-4051

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mabel Audrey Lim, M.D.NPI 1336292994

Title

Owner

Phone

(510) 832-8819

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mabel Audrey Lim, M.D.

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1336292994

  CA, Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1831362797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 WEBSTER ST",
            "address_2": "450",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074168",
            "telephone_number": "510-832-8819",
            "fax_number": "510-835-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 WEBSTER ST",
            "address_2": "450",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074168",
            "telephone_number": "510-832-8819",
            "fax_number": "510-835-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIM FAMILY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-832-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A480960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Community Charter Public School
• Lili Xu, DDS, Apc
• Julion Narvell Lillard
• Lorraine Lilley, PH.D. PSYCHOLOGY
• Lily Flower of the Valley
• Alicia Marie Lim, RD
• Brian Lim
• Curtis Lim
• David B. Lim, MD
• Elaine Vicheca Lim

• All providers in Oakland, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.