IMELDA LIM (NPI# 1093130395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093130395 |
Entity Type | Individual |
Full Name | IMELDA LIM |
Practice Address |
5795 Radio Ct San Diego CA 92114-6572 |
Mailing Address |
2743 Highland Ave National City CA 91950-7410 |
Practice Telephone | 6199424360 |
Mailing Telephone | 8442002426 |
Enumeration Date | 2014-02-23 |
Last Update Date | 2017-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95000203 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5795 RADIO CT |
City | SAN DIEGO |
State | CA |
Zip Code | 92114-6572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
Find all providers in zip 92114 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
1386107712 | Phillip Stephen Garibotto | Nurse Practitioner | 5090 Shoreham Pl Ste 209, San Diego, CA 92122-5935 | 2019-04-11 |
1013411016 | Virginia Zebley | Nurse Practitioner | 32547 Naval Miramar Medical Branch Clinic, San Diego, CA 92134-0001 | 2018-03-23 |
1528476256 | Julie Chrisco | Nurse Practitioner | 2365 Northside Dr, Suite 100, San Diego, CA 92108-2709 | 2014-07-25 |
1851505788 | Kathleen Finnigan-ryan | Nurse Practitioner | 4777 Imperial Ave, Lhs Student Health Center, San Diego, CA 92113-2071 | 2007-05-10 |
1194323121 | Ana Wong Pacis | Nurse Practitioner | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-10-12 |
1184263733 | Adenike Awolola | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-12-31 |
1275019150 | Stephanie Scirocco | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108 | 2018-07-13 |
1699263269 | Lysianne Van Pham | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-04-28 |
1528578713 | Leslie Nobuko Gomez | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2017-10-03 |
Find all providers in SAN DIEGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.