Doctor profile · Federal record

Dr. DANAE FREDERICO, PA-C

Physician Assistant · Dental Hygienist · SANTA MONICA, CA

  • NPI 1417408865
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2001 SANTA MONICA BLVD STE 680W
SANTA MONICA, CA 904042111
(310) 829-8928
Additional location
15211 Vanowen St Ste 200
Van Nuys, CA 914053606
(818) 782-4232

Credentials & registration

NPPES · NUCC
NPI registered
October 2016 — 10 yrs on file
Profile last updated
December 17, 2024
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363A00000X — NUCC code
State licenses (2)
California #58585 · California #26279

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417408865. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$32
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Medline Industries LP 1 $32.40

By nature of payment

Food and Beverage
$32

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›