Individual provider Active NPI

Jennifer C. Lin, M.D.

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
National Provider Identifier
1194935932
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A104698 Issued in CA
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

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194935932MedicaidCA

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
I20090210000256 CA Practitioner - Diagnostic Radiology 3678638590 Reassigns benefits to 5 organizations

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
County of MontereyGroup PAC ID 2466345632, 186 clinicians
West Coast Radiology AssociatesGroup PAC ID 6507351343, 6 clinicians

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 Hospital, Salinas, CA, CCN 050248
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Merit-based Incentive Payment System (MIPS)

Final score
74.84 of 100Reported as group
Quality
41.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5816TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince May 24, 2023 Accepting new patients
Monterey Spine & Joint PC CurrentSince Apr 29, 2018 Accepting new patients
County of Monterey Family Medicine CurrentSince May 24, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Monterey Spine & Joint PC CurrentSince Apr 29, 2018 Accepting new patients
West Coast Radiology Associates Diagnostic Radiology CurrentSince Oct 5, 2025 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 PastSince Nov 16, 2021 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

  • FHIR API: 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.

View all 14

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.