OrganizationActive
Lysander Jim, M.D. Inc
NPI 1639619414 · Clinic/Center · Pasadena, CA
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(70/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.