Individual provider Active NPI

Yezhe Lin

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1629657044
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A195749 Issued in CA
Practice address
675 18TH St # 4054
San Francisco, CA 94143-4200
Phone
(415) 866-9574
NPI assigned
Apr 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A195749 CA Primary

Addresses

Primary practice location

675 18TH St # 4054
San Francisco, CA 94143-4200

Mailing address

675 18TH St # 4054
San Francisco, CA 94143-4200

Other practice location 1

1001 Potrero Ave # 852
San Francisco, CA 94110-3518
Phone (628) 206-4444

Other practice location 2

3801 3rd St
San Francisco, CA 94124-1409
Phone (415) 682-3276

Other practice location 3

2681 28th Ave
San Francisco, CA 94116-2912
Phone (415) 681-3211

Other practice location 4

1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210803000435 VA Order and Referring Only - PsychiatryPractitioner - Psychiatry 1254735947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A195749CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1629657044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 18TH ST # 4054",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941434200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 18TH ST # 4054",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941434200",
            "telephone_number": "415-866-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave # 852",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 3rd St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941241409",
            "country_code": "US",
            "telephone_number": "415-682-3276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2681 28th Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162912",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162923",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "YEZHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A195749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.