Ethan Lin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA65931 Issued in CA

Practice address

640 Blossom Hill Rd Ste a
Los Gatos, CA 95032-4564

Phone

(408) 703-4600

NPI assigned

Dec 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

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.

• Action Urgent Care Inc

  • Urgent Care Clinic/Center
  • San Jose, CA
  • NPI 1205186442
  NPD (past)
• Golden State Urgent Care Providers a Medical Corporation

  • Urgent Care Clinic/Center
  • Milpitas, CA
  • NPI 1073055612
  NPD (past)

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1790593879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 JERONIMO RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BLOSSOM HILL RD STE A",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324564",
            "telephone_number": "408-703-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Jeronimo Rd",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926181908",
            "country_code": "US",
            "telephone_number": "714-744-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Psychotherapy Services Corp.
• Christine Lim
• Timothy James Lim
• Joshua Limlingan, PT, DPT, OCS
• Carrie Elizabeth Lin, LPCC
• Hsinyu Lin, LAC
• James Lin, DMD
• Lucy L. Lin, M.D.
• Peter T Lin, MD
• Paul Anthony Lippi, D.D.S.

• Physician Assistant in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.