Individual provider Active NPI

Sithu Lin, M.D.

  • Nephrology Physician
  • Fountain Valley, CA
National Provider Identifier
1023417649
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A-143411 Issued in CA
Practice address
11100 Warner Ave Ste 218
Fountain Valley, CA 92708-7511
Phone
(714) 641-9696
NPI assigned
Aug 19, 2014
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A-143411 CA Primary

Addresses

Primary practice location

11100 Warner Ave Ste 218
Fountain Valley, CA 92708-7511

Mailing address

11100 Warner Ave Ste 218
Fountain Valley, CA 92708-7511
Phone (714) 641-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710002543 CA Practitioner - NephrologyPractitioner - Internal Medicine 4284921727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Valley Healthcare IncGroup PAC ID 4082932470, 2 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

1303 Mable Ave
Modesto, CA 95355-1119
Phone (209) 910-0701

1524 McHenry Ave
Modesto, CA 95350-4570
Phone (209) 722-4842

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-143411CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Centers CurrentSince Feb 1, 2025 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Chestnut Hill Clinic Company, LLC Internal Medicine Current Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Centurion Valley Healthcare Inc. Internal Medicine CurrentSince Aug 2, 2024 Accepting new patients
Golden Valley Health Center CurrentSince Feb 1, 2025 Accepting new patients
Golden Valley Health Centers Past Accepting new patients
Modesto Kidney Medical Group Nephrology PastSince Nov 24, 2020 Accepting new patients

Locations (25 of 26)

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1303 Mable Ave
Modesto, CA 95355
Phone (209) 232-4350

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1524 McHenry Ave
Ste 300
Modesto, CA 95350
Phone (209) 527-0615

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-8441

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1023417649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 218",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087511",
            "telephone_number": "714-641-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 218",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087511",
            "telephone_number": "714-641-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "SITHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A-143411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.