Jeannie Chang Lin, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A78339 Issued in CA

Practice address

2707 E Valley Blvd
Suite 109
West Covina, CA 91792-3195

Phone

(626) 956-8024

Fax

(310) 956-8010

NPI assigned

Jul 10, 2006

Last updated

Oct 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Brent E Silvers, MD Inc

  • Non-Pharmacy Dispensing Site
  • Irvine, CA
  • NPI 1336443027
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1306870050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 109",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923195",
            "telephone_number": "626-956-8024",
            "fax_number": "310-956-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 109",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923195",
            "telephone_number": "626-956-8024",
            "fax_number": "310-956-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JEANNIE",
        "middle_name": "CHANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A78339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A783390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lin Ma DDS Inc
• Lin Ma DDS Inc
• Lin Ma DDS Inc
• Corinna Li Jun Lin
• James Lin Jr., M.D.
• Joseph Lengeeh Lin, M.D.
• Jung Hsuan (Marisa) Lin
• Wen- Pin Lin, DDS
• Jessica Linares
• Linda Y. Shen, MD

• Endocrinology, Diabetes & Metabolism Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.