DR. LYSANDER JIM M.D.
NPI 1457642795
Physical Medicine & Rehabilitation in Pasadena, CA

Active since April 20, 2011PECOS Enrolled
452 N ALTADENA DR UNIT 200, PASADENA, CA 91107(626) 838-5485 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1457642795
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. LYSANDER JIMCredential: M.D.
Location Address452 N ALTADENA DR UNIT 200Pasadena, CA 91107-2536
Mailing Address601 Camino VerdeSouth Pasadena, CA 91030-4139 · (626) 297-0400
Sole ProprietorNo
Enumeration DateApril 20, 2011
Last NPPES UpdateMarch 21, 2017
NPI 1457642795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CA · A124122
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
452 N ALTADENA DR UNIT 200, Pasadena, CA 91107

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).

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.

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.