Individual provider Active NPI

Xuanzi Lin

  • Primary Care Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1356851414
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95006123 Issued in CA
Practice address
25 N Santa Anita Ave Ste B
Arcadia, CA 91006-3169
Phone
(626) 282-0252
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95006123 CA Primary

Addresses

Primary practice location

25 N Santa Anita Ave Ste B
Arcadia, CA 91006-3169

Mailing address

25 N Santa Anita Ave Ste B
Arcadia, CA 91006-3169
Phone (626) 282-0252

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

State licenses

LicenseStateTypeSpecialty
95006123CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Urgent Care Management Inc CurrentSince Jun 6, 2021 Accepting new patients
1 World Medicine Urgent Care Corp PastSince Jun 6, 2021 Accepting new patients

Locations

25 N Santa Anita Ave
Ste B
Arcadia, CA 91006
Phone (626) 215-6699

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1356851414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N SANTA ANITA AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063169",
            "telephone_number": "626-282-0252",
            "fax_number": "626-254-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N SANTA ANITA AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063169",
            "telephone_number": "626-282-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "XUANZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95006123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.