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

Jen-Gu Lin

Individual provider Nurse Practitioner · NPI 1922350537

Jen-Gu Lin is a Nurse Practitioner in Moreno Valley, California. Qualified in 2019, 7 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (909) 558-4910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013806 (CA)

Record details

NPI number1922350537
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2012
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020
Mailing address26520 Cactus Ave, Moreno Valley, CA 92555-3927

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moreno Valley