Active NPI
Albert Y Lim, D.O.
- Anesthesiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A14694
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1202 - Phone
- (619) 532-6400
- NPI assigned
- Feb 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 245346 | MA | |
| Family Medicine Physician | 207Q00000X | 0102201633 | VA | |
| Anesthesiology Physician | 207L00000X | 20A14694 | CA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1202
Mailing address
1813 Milbank Rd
Encinitas, CA 92024-1029
Phone (240) 476-2178
Other practice location 1
525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14694 | CA | MD | Anesthesiology Physician |
| 0102201633 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of California Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Umass Memorial Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Locations
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Escondido, CA
- NPI 1164463055
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1871568642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 MILBANK RD",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920241029",
"telephone_number": "240-476-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341202",
"telephone_number": "619-532-6400"
}
],
"practiceLocations": [
{
"address_1": "525 N Garfield Ave",
"address_purpose": "LOCATION",
"city": "Monterey Park",
"state": "CA",
"postal_code": "917541202",
"country_code": "US",
"telephone_number": "626-573-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "ALBERT",
"middle_name": "Y",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "245346",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102201633",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A14694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.