Individual provider Active NPI

Rose Hwei-Da Lin, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Santa Monica, CA
National Provider Identifier
1417975392
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A90043 Issued in CA
Practice address
1831 Wilshire Blvd Ste a
Santa Monica, CA 90403-5778
Phone
(310) 829-8584
Fax
(424) 291-4205
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A90043 CA Primary
Internal Medicine Physician 207R00000X A90043 CA

Addresses

Primary practice location

1831 Wilshire Blvd Ste a
Santa Monica, CA 90403-5778

Mailing address

4077 5TH Ave
Mer 35, Department of Medical Education
San Diego, CA 92103-2105
Phone (619) 626-3802

Other practice location 1

4077 5th Ave
MER 35, Department of Medical Education
San Diego, CA 92103-2105
Phone (619) 626-3802

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rlin350439@oc.providencedirect.org
Direct Messaging Address rlin350439@oc.providencedirect.org

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
I20070131000614 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 9739181942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

1831 Wilshire Blvd
Suite a
Santa Monica, CA 90403-5778
Phone (310) 829-8903

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90043CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Sep 27, 2009 Accepting new patients
Providence Saint Johns Medical Foundation Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 27, 2009 Accepting new patients
Saint John'S Health Clinic Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

18433 Roscoe Blvd
Ste 208
Northridge, CA 91325
Phone (818) 341-4401

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

1831 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 829-8584

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

7325 Medical Ctr
Ste 300
West Hills, CA 91307
Phone (818) 226-3666

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rlin350439@oc.providencedirect.org

Organizations & group practices 5

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 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1417975392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 5TH AVE",
            "address_2": "MER 35, DEPARTMENT OF MEDICAL EDUCATION",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-626-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035778",
            "telephone_number": "310-829-8584",
            "fax_number": "424-291-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 5th Ave",
            "address_2": "MER 35, Department of Medical Education",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "619-626-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "ROSE",
        "middle_name": "HWEI-DA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A90043",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlin350439@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1831 Wilshire Blvd Ste A",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904035778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rlin350439@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11600 Indian Hills Rd",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.