Active NPI
Michael T Lin, MD
- Dermatology Physician
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A77571
- Practice address
- 15477 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3006 - Phone
- (818) 906-6900
- Fax
- (818) 906-6903
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A77571 | CA | Primary |
Addresses
Primary practice location
15477 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3006
Mailing address
28049 Smyth Dr
Valencia, CA 91355-4023
Phone (818) 906-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A775711 | Medicaid | CA |
Other names 1
- Mike Ting-Shung Lin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.lin.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Baylor College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1030 N Ventura Rd
Oxnard, CA 93030-3855
Phone (818) 906-6900
1060 N Ventura Rd
Oxnard, CA 93030-3855
Phone (818) 906-6900
15477 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3046
Phone (818) 906-2141
28049 Smyth Dr
Valencia, CA 91355-4023
Phone (818) 906-6900
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 38 |
| Removal of tissue | 40 |
| Removal of skin lesions | 680 |
| Removal of skin cancer | 51 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 110 |
| Skin biopsy | 245 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77571 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encino Laser and Surgery Center | Dermatology | Current | Accepting new patients |
| MD Solutions Medical Corp | Dermatology | Current | Accepting new patients |
| 1St Stop Urgent Care & Family Practice | Past | Accepting new patients | |
| Pacific Private Practice Network Inc | Past | Accepting new patients | |
| Valley Presbyterian Hospital | Past | Accepting new patients | |
| Salimpour Medical Group Inc. | Past | Accepting new patients |
Locations (25 of 34)
4817 Centennial Plaza Way
Ste C
Bakersfield, CA 93312
Phone (661) 230-7344
416 N Bedford Dr
Ste 100
Beverly Hills, CA 90210
Phone (305) 951-6543
435 N Roxbury Dr
Ste 315
Beverly Hills, CA 90210
Phone (310) 550-2200
9230 W Olympic Blvd
Beverly Hills, CA 90212
18501 Gale Ave
Ste 150
City of Industry, CA 91748
Phone (626) 854-2020
10141 Westminster Ave
Ste 2024
Garden Grove, CA 92843
10141 Westminster Ave
Ste 204
Garden Grove, CA 92843
Phone (714) 590-9872
1530 E Chevy Chase Dr
Ste 107
Glendale, CA 91206
Phone (661) 705-9706
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1510 S Central Ave
Ste 120
Glendale, CA 91204
Phone (818) 242-3668
1510 S Central Ave
Glendale, CA 91204
Phone (818) 242-6357
23141 Moulton Pkwy
Ste 108
Laguna Hills, CA 92653
Phone (949) 215-7575
1127 Wilshire Blvd
Ste 1000
Los Angeles, CA 90017
Phone (213) 328-3600
3616 E 1st St
Los Angeles, CA 90063
Phone (213) 264-6157
1127 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 225-0777
1060 N Ventura Rd
Oxnard, CA 93030
Phone (805) 983-0588
1801 Solar Dr
Ste 150
Oxnard, CA 93030
Phone (805) 983-1999
1030 N Ventura Rd
Oxnard, CA 93030
Phone (805) 983-6014
1064 N Ventura Rd
Oxnard, CA 93030
9496 Magnolia Ave
Ste 102B
Riverside, CA 92503
Phone (951) 439-2020
30230 Rancho Viejo Rd
Ste 200
San Juan Capo, CA 92675
Phone (949) 443-4114
30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681
2901 Tasman Dr
Ste 208
Santa Clara, CA 95054
Phone (408) 486-0898
15477 Ventura Blvd
Ste 101
Sherman Oaks, CA 91403
Phone (760) 835-4213
15477 Ventura Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 906-2141
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- michael.lin@606990805237764.direct.elationemr.com
- michael.lin.1@28334.direct.athenahealth.com
Organizations & group practices 7
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.
-
dba Unified Health care Inc.
- Dermatology Physician
- Sherman Oaks, CA
- NPI 1902837735
-
- Durable Medical Equipment & Medical Supplies
- Valencia, CA
- NPI 1437901931
Dermatology
-
- Ambulatory Surgical Clinic/Center
- Sherman Oaks, CA
- NPI 1134327182
-
- Family Medicine Physician
- Camarillo, CA
- NPI 1023443009
-
- Pulmonary Disease Physician
- San Juan Capistrano, CA
- NPI 1033501077
-
dba Bluestone Medical Group
- Pediatrics Physician
- Sherman Oaks, CA
- NPI 1871632141
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1164436820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28049 SMYTH DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554023",
"telephone_number": "818-906-6900",
"fax_number": "818-906-6903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15477 VENTURA BLVD",
"address_2": "SUITE 100",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033006",
"telephone_number": "818-906-6900",
"fax_number": "818-906-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A77571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A775711",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.lin.p1@direct.eisnerhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGenShare, Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1530 S Olive St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900153023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MIKE",
"last_name": "LIN",
"middle_name": "TING-SHUNG",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.