SOKPHEAP LIM – Family Nurse Practitioner, NPI 1124611207

SOKPHEAP LIM is a healthcare provider. based in Costa mesa, California. specializing in NURSE PRACTITIONER. They hold a License No. 95016646 (CA). The NPI Number for SOKPHEAP LIM is 1124611207

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SOKPHEAP LIM
NPI
1124611207
Phone
Not provided
Address
150 PAULARINO AVE STE 182
Enumeration Date
18 February 2021
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
4082020383
Group Practice PAC ID
1759665367
Professional Enrollment ID
I20210311001555
Address ID
CA908135514LO1360XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SOKPHEAP LIM

  • 150 PAULARINO AVE STE 182

    COSTA MESA, CA 926263301

    Phone:

    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 38 Open Payments records for all available years, with a total value of $1,977.

Total Amount is formed as General ($1,977) + Research ($0) + Ownership ($0) = $1,977.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Gilead Sciences, Inc. ($652).

Total Amount

$1,977

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,977

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2021-03-11

PECOS data refreshed: 2026-05-27

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
I20210311001555INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92626)

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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: 1759665367View full group profile
NameSpecialtyState
Nurse PractitionerCA
C H I R O P R A C T I CCA
Nurse PractitionerCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA
Family PracticeCA
Internal MedicineCA
Clinical Social WorkerCA
General Practice, Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Is SOKPHEAP LIM listed with a National Provider Identifier?
Yes — SOKPHEAP LIM has NPI 1124611207 on file in the registry.
Would SOKPHEAP LIM appear as active to a payer?
You can treat SOKPHEAP LIM as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SOKPHEAP LIM?
SOKPHEAP LIM's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is SOKPHEAP LIM registered?
Use Costa Mesa, California as the headline location for SOKPHEAP LIM here.
Does SOKPHEAP LIM accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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