Individual provider Active NPI

Hsin L Lin, M.D.

  • Pediatrics Physician
  • Covina, CA
National Provider Identifier
1194752279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A39795 Issued in CA
Practice address
315 N 3Rd Ave
Suite 202
Covina, CA 91723-1905
Phone
(626) 859-2544
Fax
(626) 859-2542
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A39795 CA Primary

Addresses

Primary practice location

315 N 3Rd Ave
Suite 202
Covina, CA 91723-1905

Mailing address

315 N 3Rd Ave
Suite 202
Covina, CA 91723-1905
Phone (626) 859-2544

Other identifiers 1

IdentifierTypeStateIssuer
00A397950MedicaidCA

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
I20150113001439 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9830338003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39795CAMDGeneral Practice Dentistry
A39795CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194752279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 202",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-859-2544",
            "fax_number": "626-859-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE",
            "address_2": "SUITE 202",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231905",
            "telephone_number": "626-859-2544",
            "fax_number": "626-859-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "HSIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A397950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.