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Ethan Lin
NPI 1790593879 · Physician Assistant · Los Gatos, CA
Ethan Lin is a Physician Assistant provider in Los Gatos, CA (NPI 1790593879).
Provider details
- NPI number
- 1790593879
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA65931 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
640 Blossom Hill Rd Ste a
Los Gatos, CA 95032-4564
Phone: (408) 703-4600
Approximate (ZIP-level) locationGet directions
Mailing address
9401 Jeronimo Rd
Irvine, CA 92618-1908
Additional practice locations (1)
- 9401 Jeronimo RdIrvine, CA 92618-1908Phone: (714) 744-7650
Registry dates
- Enumerated
- 2024-12-20
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Frequently asked questions
- What is Ethan Lin's NPI number?
- Ethan Lin's National Provider Identifier (NPI) is 1790593879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Lin's specialty?
- Ethan Lin is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ethan Lin located?
- Ethan Lin's practice location on file with NPPES is 640 Blossom Hill Rd Ste a, Los Gatos, CA 95032-4564.
- What is Ethan Lin's phone number?
- The practice phone number listed in the NPPES registry for Ethan Lin is (408) 703-4600.
- Is Ethan Lin's NPI active?
- Yes — Ethan Lin's NPI (1790593879) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.