Individual provider Active NPI

Leslie A Lin, M.D.

  • Anesthesiology Physician
  • Lakewood, CA
National Provider Identifier
1053434795
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G41094 Issued in CA
Practice address
3300 E South St Ste 107
Lakewood, CA 90805-4549
Phone
(562) 531-2020
Fax
(562) 407-2082
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G41094 CA Primary

Addresses

Primary practice location

3300 E South St Ste 107
Lakewood, CA 90805-4549

Mailing address

PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080

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
I20080317000254 CA Practitioner - Anesthesiology 1153406079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 E S St
Suite 105
Lakewood, CA 90805-4579
Phone (562) 531-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41094CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Alan Lin M D, Inc Anesthesiology CurrentSince Dec 18, 1981 Accepting new patients

Locations

17150 Newhope St
Ste 507
Fountain Vly, CA 92708
Phone (949) 431-6374

3300 E South St
Ste 105
Lakewood, CA 90805
Phone (562) 232-1442

3300 E South St
Ste 107
Lakewood, CA 90805
Phone (562) 531-2020

3300 E South St
Lakewood, CA 90805
Phone (562) 232-1144

13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1053434795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E SOUTH ST STE 107",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "908054549",
            "telephone_number": "562-531-2020",
            "fax_number": "562-407-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G41094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.