OrganizationActive
Lysander Jim, M.D. Inc
NPI 1639619414 · Clinic/Center · Pasadena, CA
Lysander Jim, M.D. Inc is a Clinic/Center organization in Pasadena, CA (NPI 1639619414).
Provider details
- NPI number
- 1639619414
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lysander Jim, President(626) 800-3860
- License
- 3985886 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
452 N Altadena Dr
Pasadena, CA 91107-2536
Phone: (626) 800-3860
Street-level locationGet directions
Mailing address
601 Camino Verde
S Pasadena, CA 91030-4139
Registry dates
- Enumerated
- 2017-02-27
- Last updated
- 2017-02-27
Frequently asked questions
- What is Lysander Jim, M.D. Inc's NPI number?
- Lysander Jim, M.D. Inc's National Provider Identifier (NPI) is 1639619414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lysander Jim, M.D. Inc?
- Lysander Jim, M.D. Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lysander Jim, M.D. Inc located?
- Lysander Jim, M.D. Inc's practice location on file with NPPES is 452 N Altadena Dr, Pasadena, CA 91107-2536.
- What is Lysander Jim, M.D. Inc's phone number?
- The practice phone number listed in the NPPES registry for Lysander Jim, M.D. Inc is (626) 800-3860.
- Who is the authorized official for Lysander Jim, M.D. Inc?
- The authorized official listed on Lysander Jim, M.D. Inc's NPPES record is Lysander Jim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lysander Jim, M.D. Inc's NPI active?
- Yes — Lysander Jim, M.D. Inc's NPI (1639619414) is active in the NPPES registry as of the last update on 2017-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.