DR. LYSANDER JIM M.D.
NPI 1457642795
Physical Medicine & Rehabilitation in Pasadena, CA
About Dr. Lysander Jim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LYSANDER JIM M.D. (NPI 1457642795) is an individual physical medicine & rehabilitation provider in Pasadena, California, licensed in California (A124122) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lysander Jim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Lysander Jim's NPI number?
The NPI number for Lysander Jim is 1457642795. It was assigned to this individual provider in the NPPES registry on April 20, 2011.
Where is Lysander Jim located?
Lysander Jim practices at 452 N Altadena Dr Unit 200, Pasadena, CA 91107. The listed phone number is (626) 838-5485.
What is Lysander Jim's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Lysander Jim enrolled in Medicare?
Yes. Lysander Jim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lysander Jim was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.