Active NPI
Connie Huang Lin
- Acute Care Nurse Practitioner
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95018053
- Practice address
- 5972 Cerulean Ave
Garden Grove, CA 92845-2620 - Phone
- (714) 470-5667
- NPI assigned
- Sep 2, 2021
- Last updated
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95018053 | CA | Primary |
Addresses
Primary practice location
5972 Cerulean Ave
Garden Grove, CA 92845-2620
Mailing address
5972 Cerulean Ave
Garden Grove, CA 92845-2620
Phone (714) 470-5667
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- California University of Science and Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 W la Veta Ave
Suite 570
Orange, CA 92868-4305
Phone (714) 835-7700
1211 W la Palma Ave
Suite 404
Anaheim, CA 92801-2806
Phone (714) 772-8282
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018053 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Healthcare Partners PC | Current | Accepting new patients | |
| Chest and Critical Care Consultants a Medical Group | Acute Care | Current | Accepting new patients |
| Chest and Critical Care Consultants | Current | Accepting new patients |
Locations
1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030
225 W Broadway
Ste 350
Glendale, CA 91204
Phone (626) 808-4754
16305 Sand Canyon Ave
Ste 220
Irvine, CA 92618
Phone (909) 558-2840
5451 La Palma Ave
Ste 19
La Palma, CA 90623
Phone (714) 521-9126
3801 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 449-4183
4772 Katella Ave
Ste 200
Los Alamitos, CA 90720
Phone (562) 595-9366
1010 W La Veta Ave
Ste 570
Orange, CA 92868
Phone (714) 835-7700
13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200
Interoperability endpoints
- connie.lin.1@3663.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Family Health Center of La Palma
- Internal Medicine Physician
- Anaheim, CA
- NPI 1598852717
Acute Care
-
- Specialist
- Encinitas, CA
- NPI 1548567498
-
dba Southern California Sleep Disorders Specialists
- Sleep Disorder Diagnostic Clinic/Center
- Tustin, CA
- NPI 1659450054
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1265100317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5972 CERULEAN AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452620",
"telephone_number": "714-470-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5972 CERULEAN AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452620",
"telephone_number": "714-470-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "CONNIE",
"middle_name": "HUANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95018053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.