Individual provider Active NPI

Michael W Lin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Gabriel, CA
National Provider Identifier
1285661819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A60921 Issued in CA
Practice address
207 S Santa Anita Ave
Ste. P-20
San Gabriel, CA 91776-1138
Phone
(626) 585-8911
Fax
(626) 585-8914
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A60921 CA Primary

Addresses

Primary practice location

207 S Santa Anita Ave
Ste. P-20
San Gabriel, CA 91776-1138

Mailing address

207 S Santa Anita Ave
Ste. P-20
San Gabriel, CA 91776-1138
Phone (626) 585-8911

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728001250 CA Practitioner - Endocrinology 8123056421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 S Santa Anita St
Suite P20
San Gabriel, CA 91776-1159
Phone (626) 585-8911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60921CAMDPharmacist
A60921CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Endocrine Center Incoporated Endocrinology, Diabetes & Metabolism CurrentSince Mar 18, 2001 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

207 S Santa Anita St
Ste P20
San Gabriel, CA 91776
Phone (626) 585-8911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285661819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA AVE",
            "address_2": "STE. P-20",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761138",
            "telephone_number": "626-585-8911",
            "fax_number": "626-585-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA AVE",
            "address_2": "STE. P-20",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761138",
            "telephone_number": "626-585-8911",
            "fax_number": "626-585-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A60921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.