PAUL CLAY LIM
NPI 1396479614
Physician Assistant - Medical in Fontana, CA

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
9630 SIERRA AVE STE 100, FONTANA, CA 92335(877) 693-6266 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Clay Lim NPPES

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

PAUL CLAY LIM (NPI 1396479614) is an individual medical provider in Fontana, California, licensed in California (PA63478) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2023).

NPPES Registry Identity

NPI1396479614
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL CLAY LIM
Location Address9630 SIERRA AVE STE 100Fontana, CA 92335-2415
Mailing Address4720 E Atherton St Apt 23Long Beach, CA 90815-3726 · (480) 865-4728
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2023
Enumeration DateJuly 12, 2022
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
NPI 1396479614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA63478
9630 SIERRA AVE STE 100, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul Clay Lim 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 ID9739656307
PECOS Enrollment IDI20260430004218
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
9630 SIERRA AVE STE 100
FONTANA, CA 92335

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 Paul Lim's NPI number?

The NPI number for Paul Lim is 1396479614. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Paul Lim located?

Paul Lim practices at 9630 Sierra Ave Ste 100, Fontana, CA 92335. The listed phone number is (877) 693-6266.

What is Paul Lim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Lim enrolled in Medicare?

Yes. Paul Lim 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.

When was this NPI record last updated?

The NPPES record for Paul Lim was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.