Active NPI
Inil Lisa Lin, M.D.
- Family Medicine Physician
- Buena Park, CA
National Provider Identifier
1942395983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A84233
- Practice address
- 6261 Stanton Ave
Buena Park, CA 90621-2436 - Phone
- (714) 739-4325
- Fax
- (714) 452-1679
- NPI assigned
- Oct 4, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A84233 | CA | Primary |
Addresses
Primary practice location
6261 Stanton Ave
Buena Park, CA 90621-2436
Mailing address
6261 Stanton Ave
Buena Park, CA 90621-2436
Phone (714) 739-4325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA84233A | Other | CA | PPIN |
| W11614 | Other | CA | GROUP ID |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12362 Beach Blvd
Suite 10
Stanton, CA 90680-3944
Phone (714) 248-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84233 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Pih Health Downey Hospital | Past | Accepting new patients | |
| Francisco Badar MD Inc | Family Medicine | Past | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCDCDA
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Stanton, CA
- NPI 1952662686
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Family Medicine Physician
- Garden Grove, CA
- NPI 1275627986
-
- Family Medicine Physician
- Cerritos, CA
- NPI 1962657544
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293494400000",
"number": "1942395983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6261 STANTON AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212436",
"telephone_number": "714-739-4325",
"fax_number": "714-452-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6261 STANTON AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212436",
"telephone_number": "714-739-4325",
"fax_number": "714-452-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "INIL",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2010-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A84233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WA84233A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ID",
"identifier": "W11614",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.