Individual provider Active NPI

Kristie L Lin, M.D.

  • Ophthalmology Physician
  • Pomona, CA
National Provider Identifier
1184801557
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
114433 Issued in CA
Practice address
160 E Artesia St Ste 140
Pomona, CA 91767-2924
Phone
(909) 671-4143
Fax
(909) 671-4145
NPI assigned
Jan 28, 2008
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 114433 CA Primary

Addresses

Primary practice location

160 E Artesia St Ste 140
Pomona, CA 91767-2924

Mailing address

160 E Artesia St Ste 140
Pomona, CA 91767-2924
Phone (909) 671-4143

Other identifiers 1

IdentifierTypeStateIssuer
D400003712OtherCTMEDICARE PTAN

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
I20110726000291 CA Practitioner - Ophthalmology 2365506425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph L Lin MD IncGroup PAC ID 0749411072, 3 clinicians

Practice addresses (Care Compare)

1135 S Sunset Ave
Suite 210
West Covina, CA 91790-3938
Phone (626) 653-9444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114433CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trilogy Eye Medical Group Inc Ophthalmology CurrentSince Jan 1, 2015 Accepting new patients
Joseph L Lin MD Inc Ophthalmology CurrentSince Aug 11, 2017 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Yale New Haven Hospital Past Accepting new patients
Peter Lou, M.D. P.C. Ophthalmology Past Accepting new patients
Pomona Valley Hospital Medical Center Ophthalmology Past Accepting new patients
Lahey Clinic, Inc. Past Accepting new patients
Massachusetts Eye Research and Surgery Institution, PC Ophthalmology Past Accepting new patients
Edward a Ryan, MD, PC Ophthalmology PastSince Aug 22, 2012 Accepting new patients

Locations

17833 Colima Rd
City of Industry, CA 91748
Phone (626) 964-7764

73271 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (213) 234-1000

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

625 S Fair Oaks Ave
Ste 260
Pasadena, CA 91105
Phone (626) 795-5848

160 E Artesia St
Ste 140
Pomona, CA 91767
Phone (626) 653-9395

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

1135 S Sunset Ave
Ste 210
West Covina, CA 91790
Phone (626) 653-9395

8135 Painter Ave
Ste 304
Whittier, CA 90602
Phone (562) 907-7600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1184801557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672924",
            "telephone_number": "909-671-4143",
            "fax_number": "909-671-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672924",
            "telephone_number": "909-671-4143",
            "fax_number": "909-671-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KRISTIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "114433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D400003712",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.