NPIMap

Individual provider Active NPI

Karen K Lin, MD

  • Neurology Physician
  • San Luis Obispo, CA
National Provider Identifier
1205037983
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G88983 Issued in CA
Practice address
1304 Ella St
Suite B1
San Luis Obispo, CA 93401-4100
Phone
(805) 476-7929
NPI assigned
May 30, 2007
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G88983 CA Primary

Addresses

Primary practice location

1304 Ella St
Suite B1
San Luis Obispo, CA 93401-4100

Mailing address

1304 Ella St
Suite B1
San Luis Obispo, CA 93401-4100
Phone (805) 476-7929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88983CAMDPharmacist
19102NEMDGastroenterology Physician
G88983CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Chicago Hospitals Network Past Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients
Northwestern Lake Forest Hospital Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Endeavor Health Clinical Operations Past Accepting new patients
Dignity Health Past Accepting new patients
Consultants in Neurology, LTD Neurology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://haiku.northshore.org/Interconnect-FHIR/api/FHIR/R4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1205037983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "SUITE B1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014100",
            "telephone_number": "805-476-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST",
            "address_2": "SUITE B1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014100",
            "telephone_number": "805-476-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "KAREN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G88983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.