Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609483890 Individual Practitioner Male Practitioner

James Lin

Dentist - General Practice • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

James Lin is a registered healthcare professional specializing in Dentist - General Practice in Berkeley, CA. Practice services are available at 3017 TELEGRAPH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3017 Telegraph Ave

Berkeley, CA 947052049

Telephone 5102598489
Associated Practice Facility / Clinic
🏢 Pathology Services Inc. Facility NPI 1588629919

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
76 Specialists

Practicing in Berkeley, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS107345

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 1002447

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Susanna Storm , AuD

Audiologist-Hearing Aid Fitter

NPI 1124350426

Doctor of Audiology

Dr. Matthew Nealon , DDS

Dentist - Endodontics

NPI 1184894941

Doctor of Dental Surgery

Eileen Banados , LCSW

Social Worker - Clinical

NPI 1376796151

Licensed Clinical Social Worker

Dr. James Ho , DMD

Dentist - Endodontics

NPI 1871692590

Doctor of Dental Medicine

NPI 1902990203

Doctor of Dental Surgery

NPI 1992909436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 24, 2026

Registered at 3017 TELEGRAPH AVE, BERKELEY, CA 947052049 (Tel: 5102598489)

📍
Updated Business Mailing Address July 24, 2026

Registered at 2502 LAS GALLINAS AVE, SAN RAFAEL, CA 949031423 (Tel: 5102598489)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2026

Dentist (License #DDS107345 in CA)

📍
Updated Practice Location November 08, 2022

Registered at 404 SAN PABLO TOWNE CENTER, SAN PABLO, CA 94806 (Tel: 5102361000)

📍
Updated Business Mailing Address November 08, 2022

Registered at 1050 COURT ST APT 220, SAN RAFAEL, CA 949012969 (Tel: 5102598489)

NPI Profile Active September 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 30, 2020

Registered at 2280 W MASON ST, GREEN BAY, WI 543034707 (Tel: 8889884066)

📍
Updated Business Mailing Address September 30, 2020

Registered at 2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 601734166 (Tel: 8889884066)

👤
Provider Name / Credentials Updated September 30, 2020

Recorded as JAMES LIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Dentist (License #1002447 in WI)

🟢
Initial NPI Registration & Enumeration September 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609483890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2020
Last Update: July 24, 2026
Sole Proprietor: Yes

Mailing Address

2502 Las Gallinas Ave

San Rafael, CA 949031423

Phone: 5102598489

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.