Individual provider Active NPI

Joanna Chunyen Lin, D.C. L.AC.

  • Chiropractor
  • Chino Hills, CA
National Provider Identifier
1700105343
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31398 Issued in CA
Practice address
12942 Elm Tree LN
Chino Hills, CA 91709-1132
Phone
(714) 726-1841
Fax
(909) 248-0171
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13716 CA
Chiropractor 111N00000X DC-31398 CA Primary

Addresses

Primary practice location

12942 Elm Tree LN
Chino Hills, CA 91709-1132

Mailing address

12942 Elm Tree LN
Chino Hills, CA 91709-1132
Phone (714) 726-1841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000472 CA Practitioner - Chiropractic 0648458711 Practice locations: Diamond Bar, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23525 Golden Springs Dr B
Diamond Bar, CA 91765-2175
Phone (909) 860-1340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31398CAMDPharmacist
13716CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevie Healthcare Corporation Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1700105343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12942 ELM TREE LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091132",
            "telephone_number": "714-726-1841",
            "fax_number": "909-248-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12942 ELM TREE LN",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091132",
            "telephone_number": "714-726-1841",
            "fax_number": "909-248-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JOANNA",
        "middle_name": "CHUNYEN",
        "name_prefix": "Dr.",
        "credential": "D.C. L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "13716",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.