NPIMap

Individual provider Active NPI

Peter H Lin, M.D.

  • Vascular Surgery Physician
  • Arcadia, CA
National Provider Identifier
1982784625
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G135687 Issued in CA
Practice address
488 E Santa Clara St Ste 303
Arcadia, CA 91006-7231
Phone
(626) 275-9566
Fax
(626) 387-4188
NPI assigned
Oct 17, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X L5810 TX
Vascular Surgery Physician 2086S0129X G135687 CA Primary

Addresses

Primary practice location

488 E Santa Clara St Ste 303
Arcadia, CA 91006-7231

Mailing address

488 E Santa Clara St Ste 303
Arcadia, CA 91006-7231
Phone (626) 275-9566

Other identifiers 1

IdentifierTypeStateIssuer
1982784625OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001601 CA Practitioner - Vascular Surgery 0143248872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Chicago College of Medicine and Surgery, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Care Specialists of Los AngelesGroup PAC ID 5698183440, 2 clinicians

Practice addresses (Care Compare)

901 S Fremont Ave
Suite 218
Alhambra, CA 91803-4705
Phone (626) 269-9993

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal118
Leg revascularization (restoring blood flow)136
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G135687CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Art Vascular & Interventional Associates Inc CurrentSince Feb 21, 2021 Accepting new patients
Vascular Care Specialists of Los Angeles Vascular Surgery CurrentSince Mar 30, 2021 Accepting new patients
Baylor College of Medicine Past Accepting new patients
CVS Medical Group, Inc Past Accepting new patients
Houston Diagnostic Cath Lab LP Past Accepting new patients
Houston Diagnostic Cath Lab LP Past Accepting new patients

Locations

901 S Fremont Ave
Ste 218
Alhambra, CA 91803
Phone (626) 269-9993

488 E Santa Clara St
Ste 303
Arcadia, CA 91006
Phone (626) 275-9566

612 W Duarte Rd
Ste 303
Arcadia, CA 91007
Phone (626) 269-9993

1417 W Beverly Blvd
Ste 106
Montebello, CA 90640
Phone (310) 242-0919

120 E Emerson Ave
Monterey Park, CA 91755
Phone (626) 269-9993

530 S Lake Ave
Pasadena, CA 91101
Phone (800) 488-3414

3633 Camino del Rio S
Ste 301
San Diego, CA 92108

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1982784625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST STE 303",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-275-9566",
            "fax_number": "626-387-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST STE 303",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-275-9566",
            "fax_number": "626-387-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "PETER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "L5810",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G135687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1982784625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.