DOUGLAS STEVEN LIM (NPI# 1407258866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407258866 |
Entity Type | Individual |
Full Name | DOUGLAS STEVEN LIM |
Credential | ARNP |
Practice Address |
5 Bon Air Rd Ste 117 Larkspur CA 94939-1138 |
Mailing Address |
Po Box 5008 Novato CA 94948-5008 |
Practice Telephone | 4083684494 |
Mailing Telephone | 4154481500 |
Mailing Fax Number | 4157983104 |
Enumeration Date | 2014-09-17 |
Last Update Date | 2020-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95000478 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730463662 | Douglas W Lim | Dentist | 728 West 19th St., Suite B, Costa Mesa, CA 92627-6148 | 2011-10-11 |
1043288442 | Douglas Lim | Anesthesiology | 6535 Laramie Ridge Ln, El Paso, TX 79912-7536 | 2006-03-10 |
1306226378 | Douglas Lim | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2015-06-04 |
Street Address |
5 BON AIR RD STE 117 |
City | LARKSPUR |
State | CA |
Zip Code | 94939-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962969931 | Shayna J Bagshaw | Dietitian, Registered | 5 Bon Air Rd Ste 117, Larkspur, CA 94939-1138 | 2019-02-26 |
1093225211 | Bianca Bzdel | Physician Assistant | 5 Bon Air Rd Ste 117, Larkspur, CA 94939-1138 | 2017-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
Find all providers in zip 94939 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477745685 | John Judson Trix | Nurse Practitioner | 2100 Lincoln Village Cir, Apt 2208, Larkspur, CA 94939-1613 | 2007-08-11 |
1376832022 | Barbara Ruth Mclain | Nurse Practitioner | 17 E Sir Francis Drake Blvd, Larkspur, CA 94939-1727 | 2011-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
Find all providers with the same taxonomy |
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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.