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Dr. Lysander Jim, M.D.

Physical Medicine & Rehabilitation Physician in Pasadena, CA · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457642795

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Registry record

Entity type Individual (Type 1)
Name Dr. Lysander Jim
Credential M.D.
Sex Male
Practice address 452 N Altadena Dr Unit 200, Pasadena, CA, 91107
Phone (626) 838-5485
Enumeration date Apr 20, 2011
Last updated in NPPES Mar 21, 2017

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License A124122 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Lysander Jim practice?
The practice location on file with NPPES is in Pasadena, CA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Lysander Jim?
The National Provider Identifier (NPI) for Lysander Jim is 1457642795, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-21.