Individual provider Active NPI

George I Lin, MD

  • Family Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1679676035
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A67423 Issued in CA
Practice address
1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745-6813
Phone
(626) 964-2880
Fax
(626) 964-2834
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A67423 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745-6813

Mailing address

18520 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745
Phone (626) 964-2880

Other identifiers 1

IdentifierTypeStateIssuer
00A674230MedicaidCA

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
I20110203000234 CA Practitioner - Family Practice 2264612555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colima Medical Clinic PCGroup PAC ID 2769419951, 5 clinicians

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 205
Hacienda Heights, CA 91745-6853
Phone (626) 964-2880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67423CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Whittier Hospital Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: george.lin@593342099947524.direct.elationemr.com

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1679676035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 S AZUSA AVE",
            "address_2": "SUITE 205",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "91745",
            "telephone_number": "626-964-2880",
            "fax_number": "626-964-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "SUITE 205",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-964-2880",
            "fax_number": "626-964-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "GEORGE",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.