Individual provider Active NPI

Melissa Wan-Shiun Lin, MD

  • Family Medicine Physician
  • Cupertino, CA
National Provider Identifier
1205903200
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A85107 Issued in CA
Practice address
20730 Valley Green Drive
Cupertino, CA 95014
Phone
(408) 783-4000
Fax
(408) 217-6140
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A85107 CA Primary

Addresses

Primary practice location

20730 Valley Green Drive
Cupertino, CA 95014

Mailing address

20730 Valley Green Drive
Cupertino, CA 95014
Phone (408) 783-4000

Other identifiers 1

IdentifierTypeStateIssuer
00A851070MedicaidCA

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
A85107CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: melissa.lin@49412312072196.direct.elationemr.com
  • Direct secure messaging: melissa.lin.1@19661.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1205903200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DRIVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-783-4000",
            "fax_number": "408-217-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DRIVE",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-783-4000",
            "fax_number": "408-217-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "MELISSA",
        "middle_name": "WAN-SHIUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A851070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.