Individual provider Active NPI

Inil Lisa Lin, M.D.

  • Family Medicine Physician
  • Buena Park, CA
National Provider Identifier
1942395983
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A84233 Issued in CA
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

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WA84233AOtherCAPPIN
W11614OtherCAGROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000775 CA Practitioner - Family Practice 1951323013 Reassigns benefits to 1 organization

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
Livingstone Community Development CorporationGroup PAC ID 9931323706, 2 clinicians

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

LicenseStateTypeSpecialty
A84233CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.