Active NPI
Lawrence L Lin MD Professional Corporation
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Legal business name
- LAWRENCE L LIN MD PROFESSIONAL CORPORATION
- Practice address
- 1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439 - Phone
- (805) 449-1778
- Fax
- (805) 496-9970
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lawrence L Lin, M.D.
- Title
- President
- Phone
- (805) 449-1778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439
Mailing address
1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439
Phone (805) 449-1778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1071111 | Lawrence L Lin MD | Certificate of waiver | Jun 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
1000 Newbury Rd
Ste 165
Thousand Oaks, CA 91320
Phone (805) 449-1778
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Thousand Oaks, CA
- NPI 1114964202
-
- Physician Assistant
- Northridge, CA
- NPI 1568044972
-
- Diagnostic Radiology Physician
- Waukesha, WI
- NPI 1932604410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651968000000",
"number": "1073553590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NEWBURY RD STE 165",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913206439",
"telephone_number": "805-449-1778",
"fax_number": "805-496-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NEWBURY RD STE 165",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913206439",
"telephone_number": "805-449-1778",
"fax_number": "805-496-9970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE L LIN MD PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2022-05-08",
"certification_date": "2022-05-08",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-449-1778",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
- Laura J Pasternack MD Inc
- Lauren a. Poliakin, M.D., a Professional Medical Corporation
- Stephanie Lauri, RD
- Grant Dudley Lawless, M.D.
- Lawrence a. Baker MD a Professional Medical Corporation
- Lawrence P. McAdam, M.D., Medical Corporation
- Lawrence Spinner M.D. a Medical Corporation
- Andrea Meredith Lazarus, MA, LMFT
- Linh Hong Le, PHARMD.
- Diep Hoang Leahy, NP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.