Individual provider Active NPI

Michael T Lin, MD

  • Dermatology Physician
  • Sherman Oaks, CA
National Provider Identifier
1164436820
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A77571 Issued in CA
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

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A775711MedicaidCA

Other names 1

  • Mike Ting-Shung Lin Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000289 CA Practitioner - Dermatology 5597753749 Reassigns benefits to 2 organizations

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
MD Solutions Medical CorpGroup PAC ID 1759379993, 11 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision38
Removal of tissue40
Removal of skin lesions680
Removal of skin cancer51
Removal of nail tissue1-10
Removal or shaving of skin growth110
Skin biopsy245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77571CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encino Laser and Surgery Center Dermatology CurrentSince Apr 8, 2024 Accepting new patients
MD Solutions Medical Corp Dermatology CurrentSince Jul 1, 2001 Accepting new patients
1St Stop Urgent Care & Family Practice Past Accepting new patients
Pacific Private Practice Network Inc PastSince Jan 1, 2022 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Salimpour Medical Group Inc. PastSince Mar 1, 2025 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

  • Direct secure messaging: michael.lin@606990805237764.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.