Active NPI
Thomas H.T. Lin, MEDICAL DIRECTOR
- Pediatrics Physician
- Monterey Park, CA
National Provider Identifier
1033210901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A64211
- Practice address
- 725 S Atlantic Blvd Ste H
Monterey Park, CA 91754-3856 - Phone
- (626) 576-9929
- Fax
- (626) 576-2959
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A64211 | CA | |
| Pediatrics Physician | 208000000X | A64211 | CA | Primary |
Addresses
Primary practice location
725 S Atlantic Blvd Ste H
Monterey Park, CA 91754-3856
Mailing address
PO Box 93723
City of Industry, CA 91715-3723
Phone (626) 308-0068
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A642110 | Medicaid | CA | |
| 95-44848047 | Other | CA | TAX ID# |
| A64211 | Other | CA | STATE LIC# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64211 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1033210901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93723",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917153723",
"telephone_number": "626-308-0068",
"fax_number": "626-810-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S ATLANTIC BLVD STE H",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543856",
"telephone_number": "626-576-9929",
"fax_number": "626-576-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "THOMAS",
"middle_name": "H.T.",
"credential": "MEDICAL DIRECTOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A64211",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A64211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A642110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "95-44848047",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC#",
"identifier": "A64211",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.