Individual provider Active NPI

Maju Lim, FNP C

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1972375459
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
299017 Issued in AZ
Practice address
675 S Avenue B BLDG a
Yuma, AZ 85364-2749
Phone
(928) 539-3140
NPI assigned
Oct 26, 2023
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 299017 AZ Primary

Addresses

Primary practice location

675 S Avenue B BLDG a
Yuma, AZ 85364-2749

Mailing address

4389 W 13TH St
Yuma, AZ 85364-8474
Phone (928) 581-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215002012 AZ Practitioner - Nurse Practitioner 7012366081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

675 S Ave B
Yuma, AZ 85364-2749
Phone (928) 539-3140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
299017AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Community Health Center Inc CurrentSince Nov 15, 2023 Accepting new patients
Sunset Community Health Center Inc CurrentSince Dec 7, 2025 Accepting new patients
Sunset Community Health Center Inc CurrentSince Nov 15, 2023 Accepting new patients
Sunset Community Health Center Inc Current Accepting new patients
Sunset Community Health Center Inc PastSince Oct 29, 2023 Accepting new patients
Sunset Community Health Center Past Accepting new patients

Locations

2060 W 24th St
Yuma, AZ 85364
Phone (928) 344-4216

675 S Avenue B
Yuma, AZ 85364
Phone (928) 539-3140

675 S Avenue B
Bldg A
Yuma, AZ 85364
Phone (928) 539-3140

Interoperability endpoints

  • Direct secure messaging: maju.lim.p1@direct.sunset.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1972375459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 W 13TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648474",
            "telephone_number": "928-581-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S AVENUE B BLDG A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642749",
            "telephone_number": "928-539-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MAJU",
        "credential": "FNP C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "299017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.