Individual provider Active NPI

Freddy Lim, M.D

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1902240229
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A144043 Issued in CA
Practice address
5420 N Figueroa St
Los Angeles, CA 90042
Phone
(323) 254-3884
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A144043 CA Primary

Addresses

Primary practice location

5420 N Figueroa St
Los Angeles, CA 90042

Mailing address

2550 W Main St Ste 301
Alhambra, CA 91801-7003

Other practice location 1

2226 E Cesar E Chavez Ave
Los Angeles, CA 90033-1825
Phone (323) 266-4446

Other practice location 2

1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072
Phone (213) 222-1300

Other practice location 3

5820 N Figueroa St
Los Angeles, CA 90042-4228
Phone (323) 255-6000

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
I20190318001242 CA Practitioner - Internal Medicine 3173863743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Community ClinicGroup PAC ID 5193710275, 21 clinicians

Practice addresses (Care Compare)

4070 E Olympic Blvd
Los Angeles, CA 90023-3332
Phone (323) 685-2070

5420 N Figueroa St
Los Angeles, CA 90042-4118
Phone (323) 256-3884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A144043CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico Familiar Santa Fe Inc CurrentSince Nov 18, 2019 Accepting new patients
Northeast Community Clinic Internal Medicine Current Accepting new patients
Northeast Community Clinic CurrentSince Nov 27, 2018 Accepting new patients
Northeast Community Clinic CurrentSince Nov 27, 2018 Accepting new patients
Chan Family Medical Corp CurrentSince Nov 18, 2019 Accepting new patients

Locations

2550 W Main St
Ste 301
Alhambra, CA 91801
Phone (626) 457-6900

1414 S Grand Ave
Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300

5820 N Figueroa St
Los Angeles, CA 90042
Phone (323) 255-6000

4070 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 268-8545

1414 S Grand Ave
Ste 200
Los Angeles, CA 90015
Phone (213) 742-6200

5420 N Figueroa St
Los Angeles, CA 90042
Phone (323) 256-3884

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1902240229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W MAIN ST STE 301",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918017003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90042",
            "telephone_number": "323-254-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2226 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331825",
            "country_code": "US",
            "telephone_number": "323-266-4446",
            "fax_number": "323-354-4094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Grand Ave Ste 380",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153072",
            "country_code": "US",
            "telephone_number": "213-222-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5820 N Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900424228",
            "country_code": "US",
            "telephone_number": "323-255-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "FREDDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A144043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.