Charlie Poisson Lin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A173959 Issued in CA

Practice address

20126 Stanton Ave Ste 100
Castro Valley, CA 94546-5270

Phone

(510) 537-3556

NPI assigned

Mar 23, 2018

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1326542259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 100",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-537-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 100",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-537-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 San Pablo St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335320",
            "country_code": "US",
            "telephone_number": "800-872-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHARLIE",
        "middle_name": "POISSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A173959",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A173959",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A173959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life at Home Safety Services, LLC
• Lifehouse Castro Valley Operations, LLC (Castro Valley Healthcare & Rehabilitation Center)
• Mary T Light, MFT
• Stacey Lillard
• Bryan Lin
• Chun-Chia Lin, DMD, MPH
• Jiahui Lin, MD
• Nora Y Lin
• Pamela Lin
• Pei-Fen Lin, MD

• Internal Medicine Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.