Individual provider Active NPI

Tom Yih-Chao Lin, MD

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1194928002
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00047583 Issued in WA
Practice address
3660 Park Sierra Dr
Ste 105
Riverside, CA 92505-3071
Phone
(951) 278-8870
Fax
(951) 278-8913
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00047583 WA Primary

Addresses

Primary practice location

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505-3071

Mailing address

11311 Bridgeport Way SW
Ste 311
Lakewood, WA 98499-3071
Phone (253) 589-3677

Other identifiers 3

IdentifierTypeStateIssuer
8484677MedicaidWA
0221364OtherWASTATE L&I
8945104OtherWASTATE CRIME VICTIMS

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
I20170314001320 CA Practitioner - General Surgery 6507967445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House MedicineGroup PAC ID 4385985407, 9 clinicians

Practice addresses (Care Compare)

1006 W la Palma Ave
Anaheim, CA 92801-3650
Phone (310) 400-0645

1206 W Ave J
Lancaster, CA 93534-2914
Phone (310) 400-0645

1658 W Valley Blvd
Suite 220
Alhambra, CA 91803-2370
Phone (310) 400-0645

900 S Main St
Suite 101
Corona, CA 92882-3401
Phone (310) 400-0645

Hospital & facility affiliations

  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy20
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146460CAMDMarriage & Family Therapist
MD00047583WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Surgical Clinic, Inc. Surgery CurrentSince Apr 1, 2017 Accepting new patients
House Medicine Neurological Surgery CurrentSince Jan 1, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
House Health Inc Surgery PastSince Jan 17, 2022 Accepting new patients
Ronald Glousman MD Medical Corporation Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

1658 W Valley Blvd
Ste 220
Alhambra, CA 91803
Phone (626) 389-3762

1006 W La Palma Ave
Anaheim, CA 92801
Phone (714) 778-3838

900 S Main St
Ste 101
Corona, CA 92882

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

1206 W Avenue J
Lancaster, CA 93534

1206 W Avenue J
Ste 100
Lancaster, CA 93534
Phone (661) 948-4429

120 W Hellman Ave
Ste 303
Monterey Park, CA 91754
Phone (310) 256-2537

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

4510 Brockton Ave
Ste 385
Riverside, CA 92501
Phone (714) 508-1981

25550 Hawthorne Blvd
Ste 209
Torrance, CA 90505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 2

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1194928002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "STE 311",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-589-3677",
            "fax_number": "253-589-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR",
            "address_2": "STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "TOM",
        "middle_name": "YIH-CHAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00047583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8484677",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0221364",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CRIME VICTIMS",
            "identifier": "8945104",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.