Individual provider Active NPI

Mimi Chen Wun Lin, M.D.

  • Specialist
  • Fremont, CA
National Provider Identifier
1386608065
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
39055 Hastings St
106A
Fremont, CA 94538-1518
Phone
(510) 795-6990
Fax
(510) 795-6989
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

39055 Hastings St
106A
Fremont, CA 94538-1518

Mailing address

155 Requa Rd
Piedmont, CA 94611-4037
Phone (510) 644-6487

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
I20040513000786 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Interventional Radiology 3678563574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiologists Medical Group, Inc. Specialist CurrentSince Jan 8, 2008 Accepting new patients
Insight Health Corp. PastSince Jun 1, 2004 Accepting new patients

Locations

2500 Mowry Ave
Fremont, CA 94538
Phone (510) 248-1018

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

Interoperability endpoints

  • Direct secure messaging: mlin13704@direct.whhs.com

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386608065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 REQUA RD",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946114037",
            "telephone_number": "510-644-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST",
            "address_2": "106A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381518",
            "telephone_number": "510-795-6990",
            "fax_number": "510-795-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "MIMI",
        "middle_name": "CHEN WUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.