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KRYSTA LIN MD
NPI 1174100507
Family Medicine in Los Angeles, CA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1120 W WASHINGTON BLVD, LOS ANGELES, CA 90015(213) 623-2225 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2026, Jul 22, 2024, Mar 24, 2021 (3 updates tracked since 2021).

About Krysta Lin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTA LIN MD (NPI 1174100507) is an individual family medicine provider in Los Angeles, California, licensed in California (A192660) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2021).

NPPES Registry Identity

NPI1174100507
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRYSTA LINCredential: MD
Location Address1120 W WASHINGTON BLVDLos Angeles, CA 90015-3316
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(213) 623-2225
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJanuary 25, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2026
✔ NPI 1174100507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A192660
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1120 W WASHINGTON BLVD, Los Angeles, CA 90015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krysta Lin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325587736
PECOS Enrollment IDI20240829002201
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA MALDONADO NP
Nurse Practitioner
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (888) 445-8745
DR. JUAN ANGEL LEMUS MIRANDA M.D.
Family Medicine
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 623-2225
KEESY YAMILET GUEVARA FNP-BC
Nurse Practitioner (Family)
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (310) 528-8003
MRS. SANDY BLANCO HERNANDEZ FNP
Nurse Practitioner (Family)
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 623-2225
SALVADOR ROSALES MD
Internal Medicine
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 623-2225
MONIQUE MARIE GUTIERREZ NP
Nurse Practitioner
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 623-2225
MS. LUZ ADRIANA TABORGA MPH, MSN, FNP-C
Nurse Practitioner (Family)
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 623-2225
DR. JOHNATHAN LUKE ERICKSON DO
Family Medicine
1120 W WASHINGTON BLVD
LOS ANGELES, CA 90015
Los Angeles County (213) 623-2225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krysta Lin's NPI number?

The NPI number for Krysta Lin is 1174100507. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Krysta Lin located?

Krysta Lin practices at 1120 W Washington Blvd, Los Angeles, CA 90015. The listed phone number is (213) 623-2225.

What is Krysta Lin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krysta Lin enrolled in Medicare?

Yes. Krysta Lin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Krysta Lin was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.