Active NPI
Nay Linn
- Internal Medicine Physician
- Modesto, CA
National Provider Identifier
1013329168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A144680
- Practice address
- 1225 Oakdale Rd
Modesto, CA 95355-3357 - Phone
- (209) 557-6200
- Fax
- (209) 557-6235
- NPI assigned
- May 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A144680 | CA | Primary |
Addresses
Primary practice location
1225 Oakdale Rd
Modesto, CA 95355-3357
Mailing address
1225 Oakdale Rd
Modesto, CA 95355-3357
Phone (209) 557-6200
Other practice location 1
3722 Harlem Ave Ste Ll34
Riverside, IL 60546-2320
Phone (708) 783-6566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14015044 | Other | CA | KAISER NORTHERN CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140711000939 | IL | Order and Referring Only - Internal Medicine | 6507081304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144680 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1013329168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 OAKDALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553357",
"telephone_number": "209-557-6200",
"fax_number": "209-557-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 OAKDALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553357",
"telephone_number": "209-557-6200",
"fax_number": "209-557-6235"
}
],
"practiceLocations": [
{
"address_1": "3722 Harlem Ave Ste Ll34",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "IL",
"postal_code": "605462320",
"country_code": "US",
"telephone_number": "708-783-6566",
"fax_number": "708-783-6567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINN",
"first_name": "NAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A144680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER NORTHERN CALIFORNIA",
"identifier": "14015044",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.