Active NPI
Jina Lim
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1992065361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A121375
- Practice address
- 455 S Main St
Orange, CA 92868-3835 - Phone
- (714) 977-3000
- NPI assigned
- May 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A121375 | CA | Primary |
Addresses
Primary practice location
455 S Main St
Orange, CA 92868-3835
Mailing address
455 S Main St
Orange, CA 92868-3835
Phone (714) 977-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A121375 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121375 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Pediatric Subspecialty Faculty, Inc. | Pediatrics | Past | Accepting new patients |
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.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337472000000",
"number": "1992065361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-977-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-977-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-20",
"last_updated": "2012-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A121375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "A121375",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.