Individual provider Active NPI

Stephanie Lin, M.D.

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1902227499
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A132969 Issued in CA
Practice address
751 S Bascom Ave
San Jose, CA 95128-2604
Phone
(408) 885-5110
Fax
(408) 885-6317
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A132969 CA Primary

Addresses

Primary practice location

751 S Bascom Ave
San Jose, CA 95128-2604

Mailing address

PO Box 2590
Cottonwood, AZ 86326-2578
Phone (877) 406-2916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, OK3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190709002369 CA Practitioner - Diagnostic Radiology 5890050595 Reassigns benefits to 1 organization
I20251224000461 TX Practitioner - Diagnostic Radiology 5890050595 Reassigns benefits to 10 organizations
I20260205001730 OK Practitioner - Diagnostic Radiology 5890050595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians
Cherokee NationGroup PAC ID 5799698742, 446 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Pawnee Indian Health CenterGroup PAC ID 2769470160, 88 clinicians
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517

27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800

385 S Catalina Ave
Apt 303
Pasadena, CA 91106-3381
Phone (918) 935-3550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132969CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jan 9, 2026 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 10, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Watonga Indian Health Center CurrentSince Nov 12, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 9, 2026 Accepting new patients
Cherokee Nation CurrentSince Jan 9, 2026 Accepting new patients
Clinton Indian Health Center CurrentSince Nov 12, 2025 Accepting new patients
Anadarko Indian Health Center CurrentSince Nov 12, 2025 Accepting new patients
El Reno Indian Health Center CurrentSince Nov 12, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Nov 12, 2025 Accepting new patients
Pawnee Indian Health Center CurrentSince Nov 12, 2025 Accepting new patients
Wewoka Indian Health CurrentSince Nov 12, 2025 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Sep 19, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 10, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 9, 2026 Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations (25 of 28)

201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 2269
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1902227499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2590",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262578",
            "telephone_number": "877-406-2916",
            "fax_number": "800-656-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604",
            "telephone_number": "408-885-5110",
            "fax_number": "408-885-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A132969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.