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SOPHIA MYUNGEUN LIM M.D.
NPI 1962857532
Student in an Organized Health Care Education/Training Program in Brea, CA

Active since May 02, 2016PECOS Enrolled
1900 E LAMBERT RD, BREA, CA 92821(714) 672-5280 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2021, Aug 18, 2020 (2 updates tracked since 2020).

About Sophia Myungeun Lim M.d. NPPES

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

SOPHIA MYUNGEUN LIM M.D. (NPI 1962857532) is an individual student in an organized health care education/training program in Brea, California and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fontana.

NPPES Registry Identity

NPI1962857532
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA MYUNGEUN LIMCredential: M.D.
Location Address1900 E LAMBERT RDBrea, CA 92821-4371
Mailing Address1900 E Lambert RdBrea, CA 92821-4371
Phone(714) 672-5280
Sole ProprietorNo
Enumeration DateMay 2, 2016
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1962857532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 E LAMBERT RD, Brea, CA 92821
Open in Google Maps ↗

Secondary Practice Location 1

Location 19961 Sierra Ave # Mob1Fontana, CA 92335-6720 · Phone (909) 427-5084

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Myungeun Lim 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.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
5.7 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044

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

Other Providers at the Same Location NPPES 15

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

DR. DAVID SZU-HONG LIU M.D.
Family Medicine
1900 E LAMBERT RD
BREA, CA 92821
Orange County (714) 672-5240
DR. QUOC B NGUYEN M.D., M.P.H
Internal Medicine
1900 E LAMBERT RD
BREA, CA 92821
Orange County (714) 672-5100
JIN PARK
Pharmacist
1900 E LAMBERT RD
BREA, CA 92821
Orange County (714) 672-5255
HEATHER PHAM
Pharmacist
1900 E LAMBERT RD
BREA, CA 92821
Orange County (714) 672-5255
STEVEN CHUN AN CHEN
Pharmacy (Clinic Pharmacy)
1900 E LAMBERT RD
BREA, CA 92821
Orange County (833) 574-2273
KAISER PERMANENTE
Health Maintenance Organization
1900 E LAMBERT RD
BREA, CA 92821
Orange County (888) 988-2800
ELLEN JI DO
Family Medicine
1900 E LAMBERT RD
BREA, CA 92821
Orange County (833) 574-2273
JESSICA WANG FNP-C
Nurse Practitioner (Family)
1900 E LAMBERT RD
BREA, CA 92821
Orange County (833) 574-2273

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 Sophia Lim's NPI number?

The NPI number for Sophia Lim is 1962857532. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Sophia Lim located?

Sophia Lim practices at 1900 E Lambert Rd, Brea, CA 92821. The listed phone number is (714) 672-5280.

What is Sophia Lim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sophia Lim enrolled in Medicare?

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

Which organization bills Medicare for Sophia Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Lim reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, 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 Sophia 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 Sophia Lim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.