Jay J Lin MD Inc a Prof Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JAY J LIN MD INC A PROF CORP

Practice address

22030 Sherman Way
Suite 201
Canoga Park, CA 91303-1855

Phone

(818) 883-6840

Fax

(818) 883-8828

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Jay Jenshong Lin, MDNPI 1275551251

Title

Owner

Phone

(818) 883-6840

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JAY J. LIN, M.D., INC. A PROFESSIONAL CORPORATION Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jay Jenshong Lin, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
  • NPI 1275551251
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1962437434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031885",
            "telephone_number": "818-883-6840",
            "fax_number": "818-883-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031855",
            "telephone_number": "818-883-6840",
            "fax_number": "818-883-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY J LIN MD INC A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "JENSHONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-883-6840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A31426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A314260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W21632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAY J. LIN, M.D., INC. A PROFESSIONAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.