Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Lin

Individual provider Physician Assistant · NPI 1790593879

Ethan Lin is a Physician Assistant in Los Gatos, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

640 Blossom Hill Rd Ste A
Los Gatos, CA 95032-4564
Phone: (408) 703-4600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9401 Jeronimo Rd, Irvine, CA 92618-1908 — (714) 744-7650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65931 (CA)

Record details

NPI number1790593879
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2024
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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