Individual provider Active NPI

Bonnie Lin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
National Provider Identifier
1902034887
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4879 Issued in CA
Practice address
705 W la Veta Ave
Ste 100
Orange, CA 92868-4447
Phone
(714) 628-1995
Fax
(714) 628-1983
NPI assigned
Jun 30, 2009
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2360 MA
Foot & Ankle Surgery Podiatrist 213ES0103X E4879 CA Primary

Addresses

Primary practice location

705 W la Veta Ave
Ste 100
Orange, CA 92868-4447

Mailing address

1439 W Chapman Ave
Ste 250
Orange, CA 92868-2738
Phone (805) 482-0711

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000279 CA Practitioner - Podiatry 4587844170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

705 W la Veta Ave
Suite 100
Orange, CA 92868-4447
Phone (714) 628-1995

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3404
Removal or shaving of skin growth1275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2360MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D. Kotzen, Inc. Foot & Ankle Surgery PastSince Sep 13, 2020 Accepting new patients
Allan Gary Weiss DPM a Professional Corp PastSince May 9, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: doctorlin.bonnielin@133002.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1902034887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 W CHAPMAN AVE",
            "address_2": "STE 250",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682738",
            "telephone_number": "805-482-0711",
            "fax_number": "805-482-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W LA VETA AVE",
            "address_2": "STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684447",
            "telephone_number": "714-628-1995",
            "fax_number": "714-628-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2360",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.