Individual provider Active NPI

Lawrence L Lin, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Thousand Oaks, CA
National Provider Identifier
1114964202
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
A82619 Issued in CA
Practice address
1000 Newbury Rd Ste 165
Thousand Oaks, CA 91320-6439
Phone
(805) 449-1778
Fax
(805) 496-9970
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X A82619 CA Primary

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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000146 CA Practitioner - Other (Physician)Practitioner - Obstetrics/Gynecology 7618989674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Rush Medical College of Rush University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Newbury Rd
Suite 165
Thousand Oaks, CA 91320-6439
Phone (805) 449-1778

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
86.82 of 100Reported as individual
Quality
84.69
Improvement activities
40
Cost
76.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82619CAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence L Lin MD Professional Corporation Urogynecology and Reconstructive Pelvic Surgery CurrentSince Mar 2, 2006 Accepting new patients

Locations

1000 Newbury Rd
Ste 165
Thousand Oaks, CA 91320
Phone (805) 449-1778

2190 Lynn Rd
Ste 240
Thousand Oaks, CA 91360
Phone (805) 370-1965

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1912/brand/1/csg/22/fhir/r4

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.

Hospital & facility affiliations 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1114964202",
    "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": {
        "last_name": "LIN",
        "first_name": "LAWRENCE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A82619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.