KELLY YING LIN M.D.
NPI 1205273794
Specialist in Garden Grove, CA

Q: What is Kelly Lin's NPI number?

The NPI number for Kelly Lin is 1205273794. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Q: What is Kelly Lin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Lin was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment

12100 EUCLID ST, GARDEN GROVE, CA 92840(888) 988-2800 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, Oct 10, 2018 (2 updates tracked since 2018).

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About Kelly Ying Lin M.d. NPPES

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

KELLY YING LIN M.D. (NPI 1205273794) is an individual specialist in Garden Grove, California, licensed in California (A129679) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2012).

NPPES Registry Identity

NPI1205273794

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKELLY YING LINCredential: M.D.

Location Address12100 EUCLID STGarden Grove, CA 92840-3304

Mailing Address1515 N Vermont Ave Fl 5Los Angeles, CA 90027-5337 · (626) 318-3710

Phone(888) 988-2800

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2012

Enumeration DateMay 24, 2013

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

✔ NPI 1205273794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A129679

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12100 EUCLID ST, Garden Grove, CA 92840

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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

Kelly Ying Lin M.d. 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 ID6002132073

PECOS Enrollment IDI20151019001256

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.

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.

MRS. ADRIANA CERVANTES LONGO M.D.

Internal Medicine

12100 EUCLID ST, 3RD FLOOR
GARDEN GROVE, CA 92840

Orange County (714) 741-3685

MICHELLE SUH

Pharmacist