Emmanuel Medical Providers

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C39980 Issued in CA

Legal business name

EMMANUEL MEDICAL PROVIDERS

Practice address

9675 Monte Vista Ave
Ste B
Montclair, CA 91763-2213

Phone

(909) 447-5554

Fax

(909) 447-5582

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dee Beng K Lim, MD

Title

Ceo

Phone

(909) 447-5554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992760417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE",
            "address_2": "STE B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632213",
            "telephone_number": "909-447-5554",
            "fax_number": "909-447-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE",
            "address_2": "STE B",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632213",
            "telephone_number": "909-447-5554",
            "fax_number": "909-447-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL MEDICAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DEE BENG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-447-5554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C39980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C399801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Elguezabal
• Faith Elledge
• Heather Lauren Ellis
• Emily Ling DDS
• Emily Ling DDS a Professional Corporation
• Joann Enderica, PA
• Michelle S Enriquez, LCSW
• Monique Karina Enriquez
• Ryan Escalante
• Jose Hugo Escamilla Jr.

• Family Medicine Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.