Organization Active NPI

Andrew Lin MD Professional Corp

  • Internal Medicine Physician
  • Sunnyvale, CA
National Provider Identifier
1902077571
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77882 Issued in CA
Legal business name
ANDREW LIN MD PROFESSIONAL CORP
Practice address
500 E Remington Dr Ste 30
Sunnyvale, CA 94087-2612
Phone
(408) 739-5950
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Andrew Lin, MDNPI 1679635254
Title
President
Phone
(408) 739-5950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G77882 CA Primary

Addresses

Primary practice location

500 E Remington Dr Ste 30
Sunnyvale, CA 94087-2612

Mailing address

500 E Remington Dr Ste 30
Sunnyvale, CA 94087-2612
Phone (408) 739-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000163 CA Part B Supplier - Clinic/Group Practice 1557547916 Receives reassigned benefits from 1 practitioner
Practice locations: Sunnyvale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1902077571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR STE 30",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872612",
            "telephone_number": "408-739-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR STE 30",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872612",
            "telephone_number": "408-739-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW LIN MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-739-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.