Individual provider Active NPI

Mimi Lin, M.D.

  • Gastroenterology Physician
  • San Francisco, CA
National Provider Identifier
1659588457
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A85457 Issued in CA
Practice address
1100 Van Ness Ave FL 5
San Francisco, CA 94109
Phone
(415) 600-1000
Fax
(415) 375-4825
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 A85457 CA Primary

Addresses

Primary practice location

1100 Van Ness Ave FL 5
San Francisco, CA 94109

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-1000

Other practice location 1

900 Welch Rd
Suite 202
Palo Alto, CA 94304-1805
Phone (650) 324-8878

Other practice location 2

899 Valencia St
San Francisco, CA 94110-1736
Phone (415) 600-1138

Other identifiers 1

IdentifierTypeStateIssuer
A85457OtherCASTATE MEDICAL LICENSE

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
I20091028000686 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1355488008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

3838 California St
San Francisco, CA 94118-1506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Upper gastrointestinal (GI) endoscopy for acid reflux202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85457CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Jul 31, 2009 Accepting new patients
County of San Mateo Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Jul 31, 2009 Accepting new patients
County of San Mateo Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

770 Welch Rd
Ste 380
Palo Alto, CA 94304
Phone (650) 324-1250

795 El Camino Real
#1112
Palo Alto, CA 94301

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

899 Valencia St
San Francisco, CA 94110
Phone (415) 600-6960

2340 Clay St
Fl 2
San Francisco, CA 94115
Phone (415) 600-3458

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

1100 Van Ness Ave
Fl 5
San Francisco, CA 94109
Phone (415) 600-0440

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

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

Interoperability endpoints

  • Direct secure messaging: mlin110239@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1659588457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-1000",
            "fax_number": "415-375-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-600-1000",
            "fax_number": "415-375-4825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Welch Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041805",
            "country_code": "US",
            "telephone_number": "650-324-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "899 Valencia St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101736",
            "country_code": "US",
            "telephone_number": "415-600-1138",
            "fax_number": "415-600-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "MIMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A85457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A85457",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.