Active NPI
Calvin C Lin, MD
- Pediatrics Physician
- Oxnard, CA
National Provider Identifier
1770507709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A92616
- Practice address
- 451 W Gonzales Rd Ste 130
Oxnard, CA 93036-0721 - Phone
- (805) 981-7691
- Fax
- (805) 891-7676
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 10, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A92616 | CA | Primary |
Addresses
Primary practice location
451 W Gonzales Rd Ste 130
Oxnard, CA 93036-0721
Mailing address
451 W Gonzales Rd Ste 130
Oxnard, CA 93036-0721
Phone (805) 981-7691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A92616 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients | |
| Lilia Fernandez Coppa, MD, Inc. | Pediatrics | Past | Accepting new patients |
| Coastal Kids, a Professional Medical Corporation | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Kids
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
-
dba Community Memorial Hospital - Ventura
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
-
- Pediatrics Physician
- Oxnard, CA
- NPI 1619129954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1770507709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 W GONZALES RD STE 130",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360721",
"telephone_number": "805-981-7691",
"fax_number": "805-891-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 W GONZALES RD STE 130",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360721",
"telephone_number": "805-981-7691",
"fax_number": "805-891-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "CALVIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A92616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.