Individual provider Active NPI

Victoria Lin Danhakl, MD

  • Anesthesiology Physician
  • Pacific Palisades, CA
National Provider Identifier
1780901322
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
280754 Issued in NY
Practice address
17717 Calle de Palermo
Pacific Palisades, CA 90272-2008
Phone
(310) 993-2553
NPI assigned
Apr 22, 2010
Sex
Female
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
Anesthesiology Physician 207L00000X A157524 CA
Anesthesiology Physician 207L00000X 280754 NY Primary

Addresses

Primary practice location

17717 Calle de Palermo
Pacific Palisades, CA 90272-2008

Mailing address

17717 Calle de Palermo
Pacific Palisades, CA 90272-2008
Phone (310) 993-2553

Other practice location 1

769 Almar Ave
Pacific Palisades, CA 90272-3403
Phone (310) 993-2553

Other names 1

  • Dr. Victoria Lin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157524CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Anesthesia Medical Group CurrentSince Oct 1, 2018 Accepting new patients

Locations

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780901322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17717 CALLE DE PALERMO",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722008",
            "telephone_number": "310-993-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17717 CALLE DE PALERMO",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722008",
            "telephone_number": "310-993-2553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 Almar Ave",
            "address_purpose": "LOCATION",
            "city": "Pacific Palisades",
            "state": "CA",
            "postal_code": "902723403",
            "country_code": "US",
            "telephone_number": "310-993-2553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANHAKL",
        "first_name": "VICTORIA",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A157524",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "280754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "LIN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.