DR. KELLIE JANE LIM (NPI# 1134328735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134328735 |
| Entity Type | Individual |
| Full Name | DR. KELLIE JANE LIM |
| Credential | M.D. |
| Practice Address |
7471 N Fresno St Fresno CA 93720-2457 |
| Practice Telephone | 5594364500 |
| Practice Fax Number | 5594360500 |
| Mailing Telephone | 5594364500 |
| Mailing Fax Number | 5594360500 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A106613 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0043790 | 05 | |
| CA | MEDICARE PTAN | ZZZ21572Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831695824 | Kellie Marie Lim | Physician Assistant | 4360 E Brown Rd Ste 113, Mesa, AZ 85205-4084 | 2018-03-30 |
| Street Address |
7471 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923307 | Malik Nasir Baz | Allergy & Immunology | 7471 N Fresno St, Fresno, CA 93720-2457 | 2005-06-22 |
| 1053953927 | Shanetha Keelah Stapleton | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2019-10-12 |
| 1851894745 | Premium Urgent Care, Inc. | Clinic/Center | 7471 N Fresno St, Fresno, CA 93720-2457 | 2018-03-16 |
| 1972979201 | Brittany Leann Kalajian | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720 | 2015-08-21 |
| 1124403159 | Karalyn Rebecca Champion | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-07-20 |
| 1619358272 | Ryan Majd Gorji | Family Medicine | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-06-09 |
| 1972998649 | Sylvia Angelica Ann Aparicio | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-03-31 |
| 1518358142 | Archana Chandra | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2015-02-18 |
| 1841692449 | Sofian Amir Hassen | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2014-09-25 |
| 1669874046 | Oliver Kampitan Olaivar | Nurse Practitioner | 7471 N Fresno St, Fresno, CA 93720-2457 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184902405 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 505 N Clovis Ave, Fresno, CA 93727-2617 | 2011-08-03 |
| 1053613711 | Muhammad Hassan Bashir | Allergy & Immunology | 7471 N. Fresno Street, Fresno, CA 93720-2457 | 2010-11-30 |
| 1336399013 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 6643 N. Milburn, Suite #101, Fresno, CA 93722-2161 | 2008-09-30 |
| 1285705244 | Naveena R. Bobba | Allergy & Immunology | 276 W Bluff Ave, Fresno, CA 93711-6930 | 2006-11-13 |
| 1619916913 | Jeanett Segal | Allergy & Immunology | 6700 N 1st St, Ste 131, Fresno, CA 93710-3947 | 2006-06-05 |
| 1598703480 | Praveen Buddiga | Allergy & Immunology | 7105 N Chestnut Ave Ste 103, Fresno, CA 93720-0357 | 2006-06-03 |
| 1114923307 | Malik Nasir Baz | Allergy & Immunology | 7471 N Fresno St, Fresno, CA 93720-2457 | 2005-06-22 |
| 1750387940 | Troy A Scribner | Allergy & Immunology | 6741 N Willow Ave, Suite 102, Fresno, CA 93710-5955 | 2005-06-22 |
| 1073056735 | Praveen Buddiga Md, Inc. | Allergy & Immunology | 7105 N Chestnut Ave Ste 103, Fresno, CA 93720-0357 | 2016-11-29 |
| 1811297427 | Angela W Sabry | Allergy & Immunology | 7471 N Fresno St, Fresno, CA 93720-2457 | 2010-10-28 |
| Find all providers in FRESNO | ||||
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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.