Bingtao Lin, MD, PC
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Roseville, CA
NPI 1750865358 · NPPES record last updated Mar 28, 2025
Key facts
- NPI
- 1750865358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- Legal business name
- BINGTAO LIN, MD, PC
- Practice address
- 729 Sunrise Ave Ste 503
Roseville, CA 95661-4526 - Phone
- (916) 932-4163
- Fax
- (916) 932-4167
- NPI assigned
- Sep 19, 2018
- Organization subpart
- No
Authorized official
- Name
- Scott Sheley
- Title
- Operation Manager
- Phone
- (916) 673-9414
Practitioners 9
-
Vandana Dhanda, FNP
-
Oscar Daniel Lazcano, M.D.
-
Bingtao Lin, MD
-
Timothy Wayne Mansouri, NURSE PRACTITIONER
-
Anna Manzyuk, NP
-
Susan E Suares, MSN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2159882 | Bingtao Lin MD PC | Certificate of waiver | Dec 27, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190201002620 | CA | Part B Supplier - Clinic/Group Practice | 6002153723 |
Receives reassigned benefits from 9 practitioners Practice locations: Folsom, CA |
National Provider Directory
Locations
1600 Creekside Dr
Ste 2400
Folsom, CA 95630
Phone (916) 932-4163
729 Sunrise Ave
Ste 503
Roseville, CA 95661
Phone (916) 932-4163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | Yes |
Addresses
Primary practice location
729 Sunrise Ave Ste 503
Roseville, CA 95661-4526
Mailing address
1600 Creekside Dr Ste 2400
Folsom, CA 95630-3485
Phone (916) 932-4163
Other practice location 1
1600 Creekside Dr Ste 2400
Folsom, CA 95630-3485
Phone (916) 932-4163 ext. 91622
Other names
- Ortho-Gen
Other providers in Roseville, CA
- Catherine Elizabeth Bilski
- Paul A Bilunos
- Susan G Bilunos
- Beau Bimson
- Justin Bingham
- Paul P. Binon
- Bio-Medical Applications of California, Inc.
- Jumana Mary Bisharat-Kernizan
- Joel Bishop
- Tandis Bishop
All providers in Roseville, CA · Pain Medicine (Physical Medicine & Rehabilitation) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.