NPIMap

Individual provider Active NPI

Ken Lin, M.D., PH.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Irvine, CA
National Provider Identifier
1205153939
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
A120946 Issued in CA
Practice address
850 Health Sciences Rd
Irvine, CA 92617-3058
Phone
(949) 824-2020
NPI assigned
Apr 20, 2010
Last updated
Jan 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A120946 CA Primary

Addresses

Primary practice location

850 Health Sciences Rd
Irvine, CA 92617-3058

Mailing address

850 Health Sciences Rd
Irvine, CA 92617-3058
Phone (949) 824-2020

Other practice location 1

22550 Savi Ranch Pkwy
Yorba Linda, CA 92887-4670
Phone (714) 685-3641

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
I20140710002337 CA Practitioner - Ophthalmology 8820213697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 9830094275, 52 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120946CAMDMarriage & Family Therapist
A120946CAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Multi-Specialty CurrentSince Jun 1, 2014 Accepting new patients
Regents of the University of California Multi-Specialty CurrentSince Jun 1, 2014 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Anaheim Eye Medical Group Inc Multi-Specialty PastSince Aug 1, 2004 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine PastSince Sep 28, 2025 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 30A
Orange, CA 92868

Organizations & group practices 7

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 5

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1205153939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HEALTH SCIENCES RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173058",
            "telephone_number": "949-824-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HEALTH SCIENCES RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173058",
            "telephone_number": "949-824-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22550 Savi Ranch Pkwy",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928874670",
            "country_code": "US",
            "telephone_number": "714-685-3641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "KEN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A120946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.