NPIMap

Individual provider Active NPI

Grace Y Lin, M.D.

  • Nephrology Physician
  • Whittier, CA
National Provider Identifier
1114167178
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A106746 Issued in CA
Practice address
12462 Putnam St Ste 506
Whittier, CA 90602-1049
Phone
(626) 988-1415
Fax
(562) 698-9885
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A106746 CA Primary
Internal Medicine Physician 207R00000X A 106746 CA

Addresses

Primary practice location

12462 Putnam St Ste 506
Whittier, CA 90602-1049

Mailing address

12462 Putnam St Ste 506
Whittier, CA 90602-1049
Phone (562) 698-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130116000406 CA Practitioner - Nephrology 4688827918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whittier Internal Medicine and Nephrology Medical Group Inc 7 clinicians

Practice addresses (Care Compare)

12462 Putnam St
Suite 506
Whittier, CA 90602-1049
Phone (562) 698-8141

Hospital & facility affiliations

  • DaVita Maybrook Dialysis Dialysis facility, Whittier, CA, CCN 052884
  • DaVita Lambert Dialysis Dialysis facility, Whittier, CA, CCN 052712
  • DaVita Bluff Rd Dialysis Dialysis facility, Montebello, CA, CCN 552773
  • Presbyterian Intercommunity Hospital Home Health Home health agency, La Mirada, CA, CCN 057187
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735
  • Presbyterian Intercommunity Inpatient rehabilitation facility, Whittier, CA, CCN 05T169
  • Barlow Respiratory Hospital Long-term care hospital, Los Angeles, CA, CCN 052031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88927CAMDPharmacist
A 106746CAMDInternal Medicine Physician
A106746CAMDNephrology Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Whittier Internal Medicine and Nephrology Medical Group Inc Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Pagiel Shechter MD. Inc Nephrology CurrentSince Dec 1, 2012 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients

Locations

9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171

1770 W La Habra Blvd
La Habra, CA 90631
Phone (562) 691-8810

6222 Wilshire Blvd
Ste 304
Los Angeles, CA 90048
Phone (310) 507-7100

12462 Putnam St
Ste 506
Whittier, CA 90602
Phone (562) 698-8141

14350 Whittier Blvd
Ste 101
Whittier, CA 90605
Phone (562) 907-7616

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1114167178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST STE 506",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021049",
            "telephone_number": "562-698-8141",
            "fax_number": "562-698-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST STE 506",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021049",
            "telephone_number": "626-988-1415",
            "fax_number": "562-698-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "GRACE",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A106746",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 106746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.