Individual provider Active NPI

John Lin, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Valencia, CA
National Provider Identifier
1972558138
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A82618 Issued in CA
Practice address
27055 Island Rd
Valencia, CA 91355-1607
Phone
(310) 623-0020
Fax
(661) 670-0393
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A82618 CA Primary

Addresses

Primary practice location

27055 Island Rd
Valencia, CA 91355-1607

Mailing address

27055 Island Rd
Valencia, CA 91355-1607
Phone (310) 623-0020

Other identifiers 4

IdentifierTypeStateIssuer
00A826180OtherCABLUE SHIELD
A82618OtherCABLUE CROSS
00A826180MedicaidCA
00A826180OtherCACALOPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, WY, HI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050328001117 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1557317054 Reassigns benefits to 2 organizations
I20110629000804 NM Practitioner - Internal Medicine 1557317054 Reassigns benefits to 1 organization
I20170612001743 WY Practitioner - Internal Medicine 1557317054 Reassigns benefits to 1 organization
I20240109004854 HI Practitioner - Internal Medicine 1557317054 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82618CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Jan 4, 2023 Accepting new patients
Riverton Physician Practices, LLC CurrentSince Apr 15, 2017 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Dec 1, 2018 Accepting new patients
Riverton Physician Practices LLC CurrentSince Apr 15, 2017 Accepting new patients
Signify Health, LLC CurrentSince Dec 27, 2023 Accepting new patients
Lander Valley Physician Practices, LLC Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2100 W Sunset Dr
Riverton, WY 82501
Phone (307) 856-4161

1005 College View Dr
Riverton, WY 82501
Phone (307) 857-3486

Organizations & group practices 6

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1972558138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27055 ISLAND RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551607",
            "telephone_number": "310-623-0020",
            "fax_number": "661-670-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27055 ISLAND RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551607",
            "telephone_number": "310-623-0020",
            "fax_number": "661-670-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A82618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A826180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "A82618",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A826180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00A826180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.