NPIMap

Organization Active NPI

Lincoln Medical Associates, Inc.

  • Internal Medicine Physician
  • Lincoln, CA
National Provider Identifier
1003133885
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8777 Issued in CA
Legal business name
LINCOLN MEDICAL ASSOCIATES, INC.
Practice address
1530 3Rd St
Suite 106
Lincoln, CA 95648-1562
Phone
(916) 645-3388
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allen Lin, D.O.NPI 1841271814
Title
Director/Treasurer
Phone
(916) 226-2611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20A8777 CA Primary

Addresses

Primary practice location

1530 3Rd St
Suite 106
Lincoln, CA 95648-1562

Mailing address

1530 3Rd St
Suite 106
Lincoln, CA 95648-1562
Phone (916) 645-3388

Other identifiers 1

IdentifierTypeStateIssuer
20A8777OtherCACA LICENSE NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000637 CA Part B Supplier - Clinic/Group Practice 1951425867 Receives reassigned benefits from 10 practitioners
Practice locations: Lincoln, CA

National Provider Directory

National Provider Directory

Locations

1530 3rd St
Ste 106
Lincoln, CA 95648
Phone (916) 434-8927

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1003133885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD ST",
            "address_2": "SUITE 106",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956481562",
            "telephone_number": "916-645-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 3RD ST",
            "address_2": "SUITE 106",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956481562",
            "telephone_number": "916-645-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR/TREASURER",
        "authorized_official_telephone_number": "916-226-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE NO",
            "identifier": "20A8777",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.