Terry C. Lin D.O.,Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A65180 Issued in CA

Legal business name

TERRY C. LIN D.O.,INC.

Practice address

2520 Samaritan Dr.
#201
San Jose, CA 95124

Phone

(888) 582-0814

NPI assigned

Jan 19, 2007

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry C Lin, D.O.NPI 1134258213

Title

Gastroenterlogy

Phone

(888) 582-0814

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry C Lin, D.O

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1134258213
  Medicare reassignment NPD Authorized official
• Marwan A Balaa, MD

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1689652935
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1023161379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR STE 201B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244106",
            "telephone_number": "408-358-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAMARITAN DR.",
            "address_2": "#201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95124",
            "telephone_number": "888-582-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY C. LIN D.O.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GASTROENTERLOGY",
        "authorized_official_telephone_number": "888-582-0814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A65180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "P00107274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Terrell, MD
• Terrence R Dwyre MD Inc
• Casey James Terribilini, D.C.
• Ileana Terrizzano
• Terry C. Lin D.O.
• David Scott Terry, PH.D PSYCH ASSISTANT
• Helen Tes
• Yeromnesh H Tesema
• Adhanet Yemane Tesfai, BCBA
• Bisrat G Tesfai, NURSE LVN

• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.