Jason Lin

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95027139 Issued in CA

Practice address

1973 Foothill Pkwy Unit 104
Corona, CA 92881-4110

Phone

(951) 460-2300

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

Yes

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

Locations

Interoperability endpoints

• Direct secure messaging: jason.lin.1@3488.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3488/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.

• Totalcare Walk in Clinic Inc

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1760689715
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1841065992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 S BON VIEW AVE UNIT F",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917615511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 FOOTHILL PKWY UNIT 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814110",
            "telephone_number": "951-460-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95027139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Raylene Ligorria-Torres, MA
• Kun Hee Lim, OD
• Lin Fertility Ivf Network, Inc.
• Diana Lin, MSPAS, PA-C
• Hsin Teh Peter Lin, RPH
• Kristine Lin
• Zong Cheng Lin, ACUPUNCTURIST
• Katrina Lind, LVN
• Lionel E Rentschler DDS Inc
• Lisma Care Services LLC

• Primary Care Nurse Practitioner in Corona, CA
• Providers in Corona, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.