Individual provider Active NPI

James Mark Lin, M.D.

  • Gastroenterology Physician
  • Pleasanton, CA
National Provider Identifier
1396864872
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A102814 Issued in CA
Practice address
5565 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-5806
Phone
(650) 736-5555
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A102814 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-5806

Mailing address

5565 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-5806
Phone (650) 736-5555

Other practice location 1

5575 W Las Positas Blvd Ste 130
Pleasanton, CA 94588-5800
Phone (925) 463-0590

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
I20110719000134 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4981872991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Vanderbilt University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy85
Upper gastrointestinal (GI) endoscopy for acid reflux189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102814CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Sep 13, 2023 Accepting new patients
Stanford Health Care CurrentSince Sep 13, 2023 Accepting new patients
Stanford Health Care Current Accepting new patients
University Healthcare Alliance Gastroenterology CurrentSince Jun 1, 2015 Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1133 E Stanley Blvd
Ste 207
Livermore, CA 94550
Phone (925) 245-1238

1133 E Stanley Blvd
Ste 209
Livermore, CA 94550
Phone (925) 460-8167

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5565 W Las Positas Blvd
Ste 200
Pleasanton, CA 94588
Phone (925) 251-1010

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5575 W Las Positas Blvd
Ste 130
Pleasanton, CA 94588
Phone (925) 463-0395

5565 W Las Positas Blvd
Pleasanton, CA 94588
Phone (803) 583-6735

5565 W Las Positas Blvd
Ste 260
Pleasanton, CA 94588
Phone (925) 416-5470

5565 W Las Positas Blvd
Ste 320
Pleasanton, CA 94588
Phone (925) 460-0454

5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jlin146707@direct.stanfordhealthcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1396864872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885806",
            "telephone_number": "650-736-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885806",
            "telephone_number": "650-736-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 W Las Positas Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945885800",
            "country_code": "US",
            "telephone_number": "925-463-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A102814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.