Individual provider Active NPI

Henry Lin, MD

  • Allergy & Immunology Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1407966500
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A70227 Issued in CA
Practice address
8008 Monet Ave
Suite 107
Rancho Cucamonga, CA 91739-7509
Phone
(909) 463-6900
Fax
(909) 463-1430
NPI assigned
Aug 30, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A70227 CA Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A70227 CA

Addresses

Primary practice location

8008 Monet Ave
Suite 107
Rancho Cucamonga, CA 91739-7509

Mailing address

8008 Monet Avenue
Suite 107
Rancho Cucamonga, CA 91739-8890
Phone (909) 463-6900

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
I20031204001214 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5496650178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8008 Monet Ave
Suite 107
Rancho Cucamonga, CA 91739-7509
Phone (909) 463-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65589CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Lin Inc Allergy & Immunology CurrentSince Oct 28, 2004 Accepting new patients
Primecare Medical Group Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Allergy & Asthma Center Allergy & Immunology Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

13768 Roswell Ave
Ste 215
Chino, CA 91710
Phone (909) 325-2215

8008 Monet Ave
Ste 107
Rch Cucamonga, CA 91739
Phone (909) 463-6900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19955/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1407966500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 MONET AVENUE",
            "address_2": "SUITE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398890",
            "telephone_number": "909-463-6900",
            "fax_number": "909-463-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 MONET AVE",
            "address_2": "SUITE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917397509",
            "telephone_number": "909-463-6900",
            "fax_number": "909-463-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A70227",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A70227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.