Individual provider Active NPI

Ray J Lin

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1649693540
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51415 Issued in CA
Practice address
9041 Magnolia Ave
206
Riverside, CA 92503-3900
Phone
(951) 354-2220
NPI assigned
Jan 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 51415 CA Primary
Medical Physician Assistant 363AM0700X PA08998 TX

Addresses

Primary practice location

9041 Magnolia Ave
206
Riverside, CA 92503-3900

Mailing address

9041 Magnolia Ave
206
Riverside, CA 92503-3900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106000998 CA Practitioner - Physician Assistant 1254564081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Practice addresses (Care Compare)

210 S Grand Ave
Suite 208
Glendora, CA 91741-4266
Phone (626) 914-3675

8345 Firestone Blvd
Suite 310
Downey, CA 90241-3872
Phone (562) 923-3001

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51415CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hai Tran, M.D., Inc. Current Accepting new patients
Ocean Skin and Vein Institute CurrentSince Oct 1, 2025 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

210 S Grand Ave
Ste 208
Glendora, CA 91741
Phone (626) 914-3675

1101 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 370-5670

3661 Torrance Blvd
Ste 104
Torrance, CA 90503
Phone (310) 370-5670

13420 Newport Ave
Ste G
Tustin, CA 92780
Phone (714) 731-0061

12611 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (442) 255-4130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1649693540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "206",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "206",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-354-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "RAY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51415",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.