Individual provider Active NPI

Victor Lin, DO

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1134367204
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9886 Issued in CA
Practice address
1415 Ross Ave
El Centro, CA 92243-4306
Phone
(760) 339-7100
NPI assigned
Jan 28, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A9886 CA
Internal Medicine Physician 207R00000X 20A9886 CA Primary

Addresses

Primary practice location

1415 Ross Ave
El Centro, CA 92243-4306

Mailing address

1415 Ross Ave
El Centro, CA 92243-4306
Phone (760) 339-7100

Other practice location 1

400 North Mcdowell blvd
Petaluma, CA 94954-2339
Phone (925) 924-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000196 CA Practitioner - Internal Medicine 1254497332 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Regional Medical Center CurrentSince Nov 1, 2016 Accepting new patients
Theodore Affue M D Inc CurrentSince May 3, 2016 Accepting new patients
Aaron K Tran MD Inc Internal Medicine CurrentSince Oct 25, 2021 Accepting new patients
Asad U Khaja, M.D., Inc. Internal Medicine CurrentSince May 20, 2023 Accepting new patients
Sunny Day Medicine, Inc. Internal Medicine CurrentSince Apr 2, 2021 Accepting new patients
24 On Physicians of California, PC CurrentSince Aug 1, 2017 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Sep 19, 2023 Accepting new patients
El Centro Regional Medical Center CurrentSince Nov 1, 2016 Accepting new patients
Torrance Premier Health, Inc. Past Accepting new patients

Locations

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2061 Ross Ave
Ste A
El Centro, CA 92243
Phone (760) 205-1212

625 The City Dr S
Orange, CA 92868
Phone (714) 202-2330

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

955 Deep Valley Dr
Unit 4055
Palos Verdes Peninsula, CA 90274

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

120 S Del Mar Ave
Unit 2895
San Gabriel, CA 91778

23639 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 370-4660

4201 Torrance Blvd
Ste 420
Torrance, CA 90503
Phone (310) 540-1953

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1511ffe1-3474-454c-96b9-25125c8182f0/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134367204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 North Mcdowell blvd",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949542339",
            "country_code": "US",
            "telephone_number": "925-924-1600",
            "fax_number": "925-924-0506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "VICTOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A9886",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.