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JONATHAN LIM DO
NPI 1629654264
Pediatrics in South Gate, CA

Active since March 23, 2021PECOS Enrolled
4476 TWEEDY BLVD STE B, SOUTH GATE, CA 90280(323) 825-8300(323) 268-9119 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2026, Mar 23, 2021 (2 updates tracked since 2021).

About Jonathan Lim Do NPPES

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

JONATHAN LIM DO (NPI 1629654264) is an individual pediatrics provider in South Gate, California, licensed in California (1629654264) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629654264
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN LIMCredential: DO
Location Address4476 TWEEDY BLVD STE BSouth Gate, CA 90280-6359
Mailing Address4476 Tweedy Blvd Ste BSouth Gate, CA 90280-6359 · (323) 825-8300 · Fax (323) 268-9119
Phone(323) 825-8300
Fax(323) 268-9119
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1629654264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 1629654264
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4476 TWEEDY BLVD STE B, South Gate, CA 90280
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Lim Do 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.

Medicare Billing Reassignment

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

Via Care Community Health Center
6.1 mi
Federally Qualified Health Center (FQHC)
607 S ATLANTIC BLVD
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1770034530 (323) 268-9191

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90280 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DIAMOND BLAIR NP
Nurse Practitioner (Family)
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 268-9191
VIA CARE COMMUNITY HEALTH CENTER
Pharmacy
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 268-9191
MAYRA JUDITH FIGUEROA
Licensed Vocational Nurse
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 825-8300
BRIANNA WOO N.
Nurse Practitioner (Family)
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 268-9191
MUKUL AERI FNP-C
Nurse Practitioner
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 268-9191
MARIA EUGENIA MANCERA LVN
Licensed Vocational Nurse
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 825-8300
DR. NICOLE JOHNISE SHAW MD
Family Medicine
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 825-8300
VIA CARE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
4476 TWEEDY BLVD STE B
SOUTH GATE, CA 90280
Los Angeles County (323) 268-9191

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 Jonathan Lim's NPI number?

The NPI number for Jonathan Lim is 1629654264. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jonathan Lim located?

Jonathan Lim practices at 4476 Tweedy Blvd Ste B, South Gate, CA 90280. The listed phone number is (323) 825-8300.

What is Jonathan Lim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Lim enrolled in Medicare?

Yes. Jonathan Lim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Lim reassigns Medicare benefits to Via Care Community Health Center (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 Jonathan Lim'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 Jonathan Lim was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.