SANDY LIM CHUN
NPI 1104357755
Speech-Language Pathologist in Glendale, CA

Active since March 24, 2017Accepts Medicare Assignment
3819 2ND AVE, GLENDALE, CA 91214(818) 438-4334 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2021, Jun 9, 2020, Mar 24, 2017 (3 updates tracked since 2017).

About Sandy Lim Chun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDY LIM CHUN (NPI 1104357755) is an individual speech-language pathologist provider in Glendale, California, licensed in California (25015) and active in the NPI registry since March 2017. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1104357755
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSANDY LIM CHUN
Location Address3819 2ND AVEGlendale, CA 91214-2316
Mailing Address3819 2nd AveGlendale, CA 91214-2316
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2017
Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1104357755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 25015
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3819 2ND AVE, Glendale, CA 91214

Other Names 1

Former Name (1)Sandy Lim

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandy Lim Chun is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183995913
PECOS Enrollment IDI20170811002195

Medicare Billing Reassignment

Medicare enrollment records show Sandy Lim Chun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
4580 ELECTRONICS PL
Los Angeles, CA 90039
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandy Lim Chun's NPI number?

The NPI number for Sandy Lim Chun is 1104357755. It was assigned to this individual provider in the NPPES registry on March 24, 2017. The provider is also known as Sandy Lim.

Where is Sandy Lim Chun located?

Sandy Lim Chun practices at 3819 2nd Ave, Glendale, CA 91214. The listed phone number is (818) 438-4334.

What is Sandy Lim Chun's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sandy Lim Chun enrolled in Medicare?

Yes. Sandy Lim Chun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sandy Lim Chun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Lim Chun reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandy Lim Chun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandy Lim Chun was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.