Active NPI
Rubin C Lin, D.O.
- Family Medicine Physician
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9047
- Practice address
- 16854 Ivy Ave
Fontana, CA 92335-1504 - Phone
- (909) 791-1000
- Fax
- (909) 389-1316
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9047 | CA | Primary |
Addresses
Primary practice location
16854 Ivy Ave
Fontana, CA 92335-1504
Mailing address
16854 Ivy Ave
Fontana, CA 92335-1504
Phone (909) 791-1000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16888 Baseline Ave
Fontana, CA 92336-2083
Phone (855) 422-8029
Hospital & facility affiliations
- Arrowhead Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9047 | CA | MD | Family Medicine Physician |
| 9047 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity Physician Services PC | Family Medicine | Current | Accepting new patients |
| Namita Mohideen MD Inc | Current | Accepting new patients | |
| County of San Bernardino | Past | Accepting new patients | |
| Beaver Medical Group P C | Family Medicine | Past | Accepting new patients |
Locations
16465 Sierra Lakes Pkwy
Ste 115
Fontana, CA 92336
Phone (909) 823-8000
16854 Ivy Ave
Fontana, CA 92335
Phone (909) 422-8029
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835
1499 E Highland Ave
Sn Bernrdno, CA 92404
Phone (855) 422-8029
15237 Eleventh St
Ste C
Victorville, CA 92395
Phone (760) 493-9300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fontana, CA
- NPI 1124884176
-
- Primary Care Clinic/Center
- Fontana, CA
- NPI 1649546144
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Apple Valley, CA
- NPI 1346950904
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1679678916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16854 IVY AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923351504",
"telephone_number": "909-791-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16854 IVY AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923351504",
"telephone_number": "909-791-1000",
"fax_number": "909-389-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "RUBIN",
"middle_name": "C",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.