Active NPI
Ping Sim Lim, MD
- Internal Medicine Physician
- West Covina, CA
National Provider Identifier
1851408009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A24845
- Practice address
- 1433 West Merced Ave
Ste 206
West Covina, CA 91790 - Phone
- (626) 960-4994
- Fax
- (626) 960-4994
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A24845 | CA | Primary |
Addresses
Primary practice location
1433 West Merced Ave
Ste 206
West Covina, CA 91790
Mailing address
1433 West Merced Ave
Ste 206
West Covina, CA 91790
Phone (626) 960-4994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A24845018 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187654400000",
"number": "1851408009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 WEST MERCED AVE",
"address_2": "STE 206",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "91790",
"telephone_number": "626-960-4994",
"fax_number": "626-960-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 WEST MERCED AVE",
"address_2": "STE 206",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "91790",
"telephone_number": "626-960-4994",
"fax_number": "626-960-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "PING",
"middle_name": "SIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A24845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A24845018",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.