Active NPI
David H.Y. Lin, M.D.
- Gastroenterology Physician
- Walnut Creek, CA
National Provider Identifier
1982664041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G41718
- Practice address
- 112 La Casa Via Ste 320
Walnut Creek, CA 94598-3018 - Phone
- (925) 831-9200
- Fax
- (925) 831-9317
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G41718 | CA | Primary |
Addresses
Primary practice location
112 La Casa Via Ste 320
Walnut Creek, CA 94598-3018
Mailing address
112 La Casa Via Ste 320
Walnut Creek, CA 94598-3018
Phone (925) 831-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G41718 | Other | CA | MEDICAL LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41718 | CA | MD | Gastroenterology Physician |
| 41718 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Laser Surgery Center of Northern California LTD | Gastroenterology | Past | Accepting new patients |
| Bass Medical Group | Past | Accepting new patients |
Locations
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Gastroenterology Physician
- Walnut Creek, CA
- NPI 1609938570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1982664041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LA CASA VIA STE 320",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983018",
"telephone_number": "925-831-9200",
"fax_number": "925-831-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LA CASA VIA STE 320",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983018",
"telephone_number": "925-831-9200",
"fax_number": "925-831-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "DAVID",
"middle_name": "H.Y.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G41718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G41718",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.