Individual provider Active NPI

Stephen Andrew Lin, MD

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1073612735
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G74809 Issued in CA
Practice address
36 West Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone
(209) 952-3700
Fax
(209) 478-3302
NPI assigned
Sep 21, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G74809 CA Primary

Addresses

Primary practice location

36 West Yokuts Ave
Suite 1
Stockton, CA 95207-5713

Mailing address

36 W Yokuts Ave Ste 1
Stockton, CA 95207-5713
Phone (209) 952-3700

Other practice location 1

1334 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 579-8800

Other practice location 2

200 Cottage Ave Ste 102
Manteca, CA 95336-4935
Phone (209) 239-5303

Other identifiers 1

IdentifierTypeStateIssuer
00G748090MedicaidCA

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
I20050103001014 CA Practitioner - Ophthalmology 9537127816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1334 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 579-8800

200 Cottage Ave
Suite 102
Manteca, CA 95336-4935
Phone (209) 239-5303

36 W Yokuts Ave
Suite 1
Stockton, CA 95207-5713
Phone (209) 952-3700

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74809CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Eye Medical Group Inc. Ophthalmology CurrentSince Oct 15, 2002 Accepting new patients
E James Langham MD Inc Ophthalmology Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
California's Advanced Institute of Vision Medical Group, Inc Ophthalmology Past Accepting new patients
St. Joseph's Hospital, Yonkers Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Stevens Kim MD and Stephen Lin MD Medical Group Inc PastSince Dec 1, 2005 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Locations

200 Cottage Ave
Ste 102
Manteca, CA 95336
Phone (209) 239-5303

1334 Nelson Ave
Modesto, CA 95350
Phone (209) 524-9904

1421 Oakdale Rd
Fl 2
Modesto, CA 95355
Phone (209) 579-8800

36 W Yokuts Ave
Ste 1
Stockton, CA 95207
Phone (209) 952-3700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: slin15573@hpmg.direct-ci.net

Organizations & group practices 10

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1073612735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W YOKUTS AVE STE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-3700",
            "fax_number": "209-478-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WEST YOKUTS AVE",
            "address_2": "SUITE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075713",
            "telephone_number": "209-952-3700",
            "fax_number": "209-478-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 Nelson Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505341",
            "country_code": "US",
            "telephone_number": "209-579-8800",
            "fax_number": "209-579-1407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Cottage Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953364935",
            "country_code": "US",
            "telephone_number": "209-239-5303",
            "fax_number": "209-239-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G74809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G748090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.