Individual provider Active NPI

John Lin, M.D.

  • Anesthesiology Physician
  • Fremont, CA
National Provider Identifier
1750602694
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
128544 Issued in CA
Practice address
39350 Civic Center Dr
Fremont, CA 94538-2343
Phone
(510) 299-3791
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 128544 CA Primary

Addresses

Primary practice location

39350 Civic Center Dr
Fremont, CA 94538-2343

Mailing address

5123 Curtis St
Fremont, CA 94538-2409
Phone (510) 299-3791

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
I20140926002335 CA Practitioner - Anesthesiology 0840410759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silicon Valley Anesthesia Associates IncGroup PAC ID 7618235003, 17 clinicians

Practice addresses (Care Compare)

2340 Montpelier Dr
San Jose, CA 95116-1622
Phone (408) 538-8934

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128544CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Lin, MD, PC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Silicon Valley Anesthesia Associates, Inc. Anesthesiology CurrentSince Sep 12, 2022 Accepting new patients

Locations

39350 Civic Center Dr
Fremont, CA 94538
Phone (510) 299-3791

41041 Trimboli Way
Unit 1302
Fremont, CA 94538

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 456-4600

2340 Montpelier Dr
San Jose, CA 95116
Phone (408) 515-2428

235 Oconnor Dr
San Jose, CA 95128
Phone (408) 279-0791

2039 Forest Ave
Ste 101
San Jose, CA 95128
Phone (408) 293-4211

Organizations & group practices 3

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1750602694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 CURTIS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382409",
            "telephone_number": "510-299-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 CIVIC CENTER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382343",
            "telephone_number": "510-299-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "128544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.