BERNADETTE ANNE LIM (D.O.) – Family Medicine Physician, NPI 1104933761

BERNADETTE ANNE LIM (D.O.) is a healthcare provider. based in Glendale, California. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 20A9107 (CA). The NPI Number for BERNADETTE ANNE LIM (D.O.) is 1104933761

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
BERNADETTE ANNE LIM (D.O.)
NPI
1104933761
Phone
(818) 246-7115
Address
1505 WILSON TER
Enumeration Date
23 August 2006
Last Update Date
17 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8776540472
Graduation Year
2003 (23 years ago)
PAC ID
4981855731
Group Practice PAC ID
2062667306
Professional Enrollment ID
I20121105000154
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for BERNADETTE ANNE LIM (D.O.)

  • 1505, Wilson Terrace, Glendale, Los Angeles County, California, 91206, United States

    SUITE 250

    GLENDALE, CA 912064071

    Phone: (818) 246-7115

    Fax: (818) 246-8352

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($23).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121105000154IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6148$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes1916$0
81003Automated urinalysis test1714$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 91206)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062667306View full group profile

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to BERNADETTE ANNE LIM (D.O.)?
The federal identifier for BERNADETTE ANNE LIM (D.O.) is NPI 1104933761.
Is BERNADETTE ANNE LIM (D.O.)'s NPI currently valid?
The extract we use shows BERNADETTE ANNE LIM (D.O.) as active.
Can you summarize BERNADETTE ANNE LIM (D.O.)'s specialty in plain language?
Clinically, the directory lists BERNADETTE ANNE LIM (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for BERNADETTE ANNE LIM (D.O.)?
We surface Glendale, California for BERNADETTE ANNE LIM (D.O.) based on available NPPES addresses.
How can I contact BERNADETTE ANNE LIM (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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