Individual provider Active NPI

Lin Ma, MD

  • Neurology Physician
  • Turlock, CA
National Provider Identifier
1063529519
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A54426 Issued in CA
Practice address
1051 E. Tuolumne Rd
Suite 107
Turlock, CA 95382
Phone
(209) 202-3762
Fax
(209) 343-2425
NPI assigned
Aug 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 41682 WI
Neurology Physician 2084N0400X A54426 CA Primary

Addresses

Primary practice location

1051 E. Tuolumne Rd
Suite 107
Turlock, CA 95382

Mailing address

1051 Tuolumne Rd
Suite 107
Turlock, CA 95382
Phone (209) 202-3762

Other identifiers 2

IdentifierTypeStateIssuer
32605500MedicaidWI
1063529519MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54426CAMDNeurology Physician
41682WIMDNeurology Physician
54426CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fatemeh Pazouki MD a Professional Medical Corporation PastSince Jul 16, 2008 Accepting new patients
Narges Pazouki MD a Medical Corporation Neurology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063529519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 TUOLUMNE RD",
            "address_2": "SUITE 107",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95382",
            "telephone_number": "209-202-3762",
            "fax_number": "209-343-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E. TUOLUMNE RD",
            "address_2": "SUITE 107",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95382",
            "telephone_number": "209-202-3762",
            "fax_number": "209-343-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "41682",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A54426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32605500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063529519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.