NPIMap

Individual provider Active NPI

Richard Yd Lin

  • Orthopaedic Surgery of the Spine Physician
  • Fountain Valley, CA
National Provider Identifier
1205085610
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
20A11544 Issued in CA
Practice address
11190 Warner Ave
Suite 306
Fountain Valley, CA 92708-4019
Phone
(714) 432-9990
Fax
(714) 432-9988
NPI assigned
Sep 10, 2008
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 20A11544 CA Primary

Addresses

Primary practice location

11190 Warner Ave
Suite 306
Fountain Valley, CA 92708-4019

Mailing address

11190 Warner Ave
Ste 306
Fountain Valley, CA 92708-4045
Phone (951) 735-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912001477 CA Practitioner - Orthopedic Surgery 6103045794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Lin DO IncGroup PAC ID 1456761915, 6 clinicians

Practice addresses (Care Compare)

11180 Warner Ave
Suite 161
Fountain Valley, CA 92708-7515
Phone (949) 688-0958

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11544CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lin DO Inc Orthopaedic Surgery of the Spine CurrentSince Oct 1, 2020 Accepting new patients
Regents of the University of California Orthopaedic Surgery of the Spine CurrentSince Aug 1, 2014 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2014 Accepting new patients
Optimal Health Medical Center Inc Current Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

11180 Warner Ave
Ste 161
Fountain Vly, CA 92708
Phone (714) 556-8320

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

14642 Newport Ave
Ste 105
Tustin, CA 92780
Phone (310) 208-6104

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1205085610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "STE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084045",
            "telephone_number": "951-735-6060",
            "fax_number": "951-735-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 306",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-432-9990",
            "fax_number": "714-432-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "RICHARD",
        "middle_name": "YD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "20A11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.