Individual provider Active NPI

Vicki Lin

  • Certified Registered Nurse Anesthetist
  • Loma Linda, CA
National Provider Identifier
1245724541
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000926 Issued in CA
Practice address
11234 Anderson St
Loma Linda, CA 92354-2804
Phone
(909) 558-4000
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000926 CA Primary

Addresses

Primary practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Mailing address

2018 Camwood Ave
Rowland Heights, CA 91748-4046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181130001625 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860736915 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Nursing Anesthesia IncGroup PAC ID 9436459278, 43 clinicians

Practice addresses (Care Compare)

35800 Bob Hope Dr
Suite 100
Rancho Mirage, CA 92270-1739
Phone (760) 699-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95000926CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Apr 14, 2023 Accepting new patients
Palm Springs Anesthesia Services, PC CurrentSince Oct 18, 2018 Accepting new patients
Horieh Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
JP Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2024 Accepting new patients
Steven C Lau MD Inc CurrentSince Jan 25, 2022 Accepting new patients
Burbank Anesthesia Associates a Professional Medical Corporation CurrentSince Jun 11, 2022 Accepting new patients
Apa Medical Group, Inc. CurrentSince Jun 22, 2024 Accepting new patients
Lightning Anesthesia Nursing Services, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 9, 2025 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Apr 14, 2023 Accepting new patients
Mission Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2019 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients

Locations

100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

2211 W Magnolia Blvd
Ste 205B
Burbank, CA 91506
Phone (818) 588-4150

1849 Old Bayshore Hwy
Fl 3
Burlingame, CA 94010
Phone (650) 209-5894

5562 Philadelphia St
Ste 111
Chino, CA 91710
Phone (909) 464-9119

1281 W C St
Colton, CA 92324
Phone (909) 580-3353

1850 E Washington St
Colton, CA 92324
Phone (909) 233-7057

18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 879-5203

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 699-5000

39700 Bob Hope Dr
Ste 204
Rancho Mirage, CA 92270
Phone (760) 346-3641

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

2006 N Riverside Ave
Ste C
Rialto, CA 92377
Phone (909) 586-6238

558 Saint Charles Dr
Ste 200
Thousand Oaks, CA 91360
Phone (805) 379-2322

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

696 Hampshire Rd
Ste 160
Westlake Vlg, CA 91361
Phone (805) 494-3377

6100 Waterford District Dr
Ste 450
Miami, FL 33126

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1245724541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 CAMWOOD AVE",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "VICKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.