Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE JIN LIN
NPI 1407559388
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 22, 2023PECOS Enrolled
505 PARNASSUS AVE # M1480, SAN FRANCISCO, CA 94143(415) 476-1528 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Jin Lin NPPES

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

JACKIE JIN LIN (NPI 1407559388) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stanford.

NPPES Registry Identity

NPI1407559388
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE JIN LIN
Location Address505 PARNASSUS AVE # M1480San Francisco, CA 94143-2204
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-1150
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1407559388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
505 PARNASSUS AVE # M1480, San Francisco, CA 94143

Secondary Practice Location 1

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-1150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jackie Jin Lin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
505 PARNASSUS AVE # M1480
SAN FRANCISCO, CA 94143

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 Jackie Lin's NPI number?

The NPI number for Jackie Lin is 1407559388. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Jackie Lin located?

Jackie Lin practices at 505 Parnassus Ave # M1480, San Francisco, CA 94143. The listed phone number is (415) 476-1528.

What is Jackie Lin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jackie Lin enrolled in Medicare?

Yes. Jackie Lin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Lin was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.