Individual provider Active NPI

Katrina Lin

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1154828358
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A20936 Issued in CA
Practice address
101 Grove St
San Francisco, CA 94102-4505
Phone
(415) 554-2500
NPI assigned
Apr 12, 2018
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 6696 OK
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 20A20936 CA Primary

Addresses

Primary practice location

101 Grove St
San Francisco, CA 94102-4505

Mailing address

1001 Potrero Ave # C2
San Francisco, CA 94110-3518

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
I20240305002589 CA Practitioner - Psychiatry 1254752363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

2060 Fairmont Dr
Castro Valley, CA 94578-1001
Phone (510) 346-7500

375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone (415) 759-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6696OKMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Aug 31, 2024 Accepting new patients
City & County of San Francisco CurrentSince Jan 24, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jan 24, 2024 Accepting new patients
Alameda Health System CurrentSince Aug 31, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients
Alameda Health System Current Accepting new patients

Locations

2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

1001 Potrero Ave
#C2
San Francisco, CA 94110

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

Organizations & group practices 6

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 3

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1154828358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE # C2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GROVE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024505",
            "telephone_number": "415-554-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "6696",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A20936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.