Organization Active NPI

Jian Cheng Lin MD Inc

  • Neurology Physician
  • San Gabriel, CA
National Provider Identifier
1124307962
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A68176 Issued in CA
Legal business name
JIAN CHENG LIN MD INC
Practice address
1418 S San Gabriel Blvd
Ste #B
San Gabriel, CA 91776-4604
Phone
(626) 571-7389
Fax
(626) 571-7311
NPI assigned
Aug 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Jian Cheng Lin, MD
Title
President / Ceo
Phone
(626) 571-7389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A68176 CA Primary

Addresses

Primary practice location

1418 S San Gabriel Blvd
Ste #B
San Gabriel, CA 91776-4604

Mailing address

1418 S San Gabriel Blvd
Ste #B
San Gabriel, CA 91776-4604
Phone (626) 571-7389

National Provider Directory

National Provider Directory

Locations

1418 S San Gabriel Blvd
Ste B
San Gabriel, CA 91776
Phone (626) 293-1988

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1124307962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD",
            "address_2": "STE #B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764604",
            "telephone_number": "626-571-7389",
            "fax_number": "626-571-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD",
            "address_2": "STE #B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764604",
            "telephone_number": "626-571-7389",
            "fax_number": "626-571-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIAN CHENG LIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JIAN",
        "authorized_official_middle_name": "CHENG",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "626-571-7389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A68176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.