Individual provider Active NPI

David H.Y. Lin, M.D.

  • Gastroenterology Physician
  • Walnut Creek, CA
National Provider Identifier
1982664041
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G41718 Issued in CA
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

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G41718OtherCAMEDICAL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081114000057 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4082774542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41718CAMDGastroenterology Physician
41718CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Jul 28, 2012 Accepting new patients
Laser Surgery Center of Northern California LTD Gastroenterology PastSince Mar 1, 2005 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.

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

Verify at the official NPI Registry.