Active NPI
Stephanie Lin, M.D.
- Diagnostic Radiology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A132969
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A132969 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Watonga Indian Health Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Clinton Indian Health Center | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Wewoka Indian Health | Current | Accepting new patients | |
| Diagnostic Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Pawnee IHS Pharmacy | Past | 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.
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
- General Acute Care Hospital
- Enid, OK
- NPI 1144236571
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.