Active NPI
Jennifer C. Lin, M.D.
- Diagnostic Radiology Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A104698
- Practice address
- 1661 Soquel Dr
BLDG G
Santa Cruz, CA 95065-1709 - Phone
- (831) 476-1542
- Fax
- (831) 476-8977
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A104698 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | M5816 | TX |
Addresses
Primary practice location
1661 Soquel Dr
BLDG G
Santa Cruz, CA 95065-1709
Mailing address
665 Munras Ave
Ste 109
Monterey, CA 93940-3136
Phone (831) 476-1542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194935932 | Medicaid | CA |
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
- Diagnostic Radiology
- Education
- New York University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235
5000 San Bernardino St
Montclair, CA 91763-2326
Phone (626) 325-8455
Hospital & facility affiliations
- Natividad Medical Center
- Chino Valley Medical Center
- Montclair Hospital Medical Center
- Shasta Regional Medical Center
- Community Hospital of the Monterey Peninsula
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.84 of 100
- Quality
- 41.04
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5816 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| County of Monterey | Family Medicine | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| West Coast Radiology Associates | Diagnostic Radiology | Current | Accepting new patients |
| County of Monterey | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Radiology Medical Group of Santa Cruz County Inc | Diagnostic Radiology | Past | Accepting new patients |
| California Advanced Imaging Medical Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| County of Monterey | Family Medicine | Past | Accepting new patients |
| Community Memorial Health System | Past | Accepting new patients | |
| Montage Surgical Group | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 46)
3618 W Anthem Way
Ste D104
Anthem, AZ 85086
Phone (623) 551-3391
5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935
6320 W Union Hills Dr
Ste 120
Glendale, AZ 85308
Phone (602) 535-2840
13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930
1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995
1345 E McKellips Rd
Ste 106
Mesa, AZ 85203
Phone (480) 265-8101
9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700
2141 E Camelback Rd
Ste 110
Phoenix, AZ 85016
Phone (602) 954-0954
20830 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 306-7900
6707 N 19th Ave
Ste 108
Phoenix, AZ 85015
Phone (602) 242-4177
4219 E Bell Rd
Phoenix, AZ 85032
Phone (480) 584-5525
3201 W Peoria Ave
Ste B301
Phoenix, AZ 85029
Phone (602) 688-6120
8921 W Thomas Rd
Ste 101
Phoenix, AZ 85037
Phone (602) 601-4000
4045 E Bell Rd
Ste 143
Phoenix, AZ 85032
Phone (602) 867-0404
1331 N 7th St
Ste 150
Phoenix, AZ 85006
Phone (602) 253-0000
7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400
9201 E Mountain View Rd
Ste 137
Scottsdale, AZ 85258
Phone (480) 614-8555
14823 W Bell Rd
Ste 110
Surprise, AZ 85374
Phone (623) 214-1492
9134 W Olympic Blvd
Beverly Hills, CA 90212
Phone (310) 432-1000
155 N San Vicente Blvd
Beverly Hills, CA 90211
Phone (323) 433-7800
8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000
455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030
499 N El Camino Real
Ste C100
Encinitas, CA 92024
Phone (760) 334-4065
15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120
24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
- Diagnostic Radiology Physician
- San Dimas, CA
- NPI 1992678494
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
-
- Orthopaedic Surgery Physician
- Monterey, CA
- NPI 1881620599
-
- Diagnostic Radiology Physician
- Santa Cruz, CA
- NPI 1962415208
-
- Family Medicine Physician
- Prunedale, CA
- NPI 1063151363
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1881646909
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Family Medicine Physician
- Marina, CA
- NPI 1588617955
-
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- General Acute Care Hospital
- Redding, CA
- NPI 1205089026
-
- General Acute Care Hospital
- Chino, CA
- NPI 1962407460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1194935932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 MUNRAS AVE",
"address_2": "STE 109",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403136",
"telephone_number": "831-476-1542",
"fax_number": "831-476-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 SOQUEL DR",
"address_2": "BLDG G",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651709",
"telephone_number": "831-476-1542",
"fax_number": "831-476-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "JENNIFER",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A104698",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M5816",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194935932",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.