Organization Active NPI

Paul S. Lin MD Inc.

  • Gynecologic Oncology Physician
  • Pasadena, CA
National Provider Identifier
1821610544
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
PAUL S. LIN MD INC.
Practice address
960 E Green St Ste L-60
Pasadena, CA 91106-2423
Phone
(626) 793-3339
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Paul S. Lin, M.D.
Title
President
Phone
(626) 793-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

960 E Green St Ste L-60
Pasadena, CA 91106-2423

Mailing address

223 N 1St Ave Ste 201
Arcadia, CA 91006-7027
Phone (626) 698-7246

Other identifiers 1

IdentifierTypeStateIssuer
00A51125DMedicaidCA

National Provider Directory

National Provider Directory

Locations

625 S Fair Oaks Ave
Ste 380
Pasadena, CA 91105
Phone (626) 229-8992

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1821610544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 1ST AVE STE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067027",
            "telephone_number": "626-698-7246",
            "fax_number": "626-447-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST STE L-60",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062423",
            "telephone_number": "626-793-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. LIN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-793-3339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A51125D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.