Active NPI
Yitong Lin, R.PH
- Pharmacist
- Lake Forest, CA
National Provider Identifier
1356708549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74177
- Practice address
- 22942 Ridge Route Dr Ste 104
Lake Forest, CA 92630-3693 - Phone
- (949) 215-5899
- NPI assigned
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03334801-3 | OH | |
| Pharmacist | 183500000X | 74177 | CA | Primary |
Addresses
Primary practice location
22942 Ridge Route Dr Ste 104
Lake Forest, CA 92630-3693
Mailing address
1083 1/2 W Kensington Rd
Los Angeles, CA 90026-6327
Phone (419) 508-1527
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)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74177 | CA | MD | Pharmacist |
| 03334801-3 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylvain Pharmacy Inc | Current | Accepting new patients | |
| Sylvain Pharmacy Inc. | Current | Accepting new patients |
Locations
22942 Ridge Route Dr
Ste 104
Lake Forest, CA 92630
Phone (949) 215-5899
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1356708549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 1/2 W KENSINGTON RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900266327",
"telephone_number": "419-508-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22942 RIDGE ROUTE DR STE 104",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303693",
"telephone_number": "949-215-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "YITONG",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-20",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03334801-3",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.