Organization Active NPI

Augustin a. Lin, D.O., Inc.

Doing business as Family Specialty Care Medical Group

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1689759276
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AUGUSTIN A. LIN, D.O., INC.
Doing business as
Family Specialty Care Medical Group
Practice address
13768 Roswell Ave
Suite #120
Chino, CA 91710-1401
Phone
(909) 396-1755
Fax
(909) 396-8268
NPI assigned
Oct 25, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Augustin A Lin, D.O.NPI 1003991688
Title
Medical Director
Phone
(909) 396-1755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13768 Roswell Ave
Suite #120
Chino, CA 91710-1401

Mailing address

3817 Grand Ave Ste B
PMB 225
Chino, CA 91710-5443
Phone (909) 396-1755

Other identifiers 1

IdentifierTypeStateIssuer
20A6462OtherCASTATE MEDICAL LICENSE

Other names 1

  • Family Specialty Care Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

13768 Roswell Ave
Ste 120
Chino, CA 91710
Phone (909) 396-1755

3817 Grand Ave
Ste B
Chino, CA 91710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1689759276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 GRAND AVE STE B",
            "address_2": "PMB 225",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105443",
            "telephone_number": "909-396-1755",
            "fax_number": "909-396-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE #120",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-396-1755",
            "fax_number": "909-396-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTIN A. LIN, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "AUGUSTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-396-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "20A6462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Specialty Care Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.