DR. PHILIP HAROLD WALLAR (NPI# 1043317159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043317159 |
| Entity Type | Individual |
| Full Name | DR. PHILIP HAROLD WALLAR |
| Credential | M.D. |
| Practice Address |
11201 Benton St Loma Linda CA 92357-1000 |
| Practice Telephone | 9095836067 |
| Practice Fax Number | 9997773291 |
| Mailing Telephone | 9095836067 |
| Mailing Fax Number | 9997773291 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G18738 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
11201 BENTON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290558 | Russell Evan Hoxie Jr. | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357-1000 | 2005-07-22 |
| 1104435643 | Megan Satre | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-30 |
| 1972111862 | Aileen Nati Ludesirishoti | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-17 |
| 1649894551 | Bryan Lamont Brewer | Social Worker | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-06-05 |
| 1518580497 | Nicole Kaye Whittle | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-26 |
| 1629690375 | Kevin Alan Cox | Student in an Organized Health Care Education/Training Program | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-15 |
| 1033731443 | Joni Lynn Stanton | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-08 |
| 1134748536 | Abednego Tamba | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-04-15 |
| 1447885884 | Zachary Michael Cruz | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-03-05 |
| 1972141695 | Tanya Lengvilas | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| 1033553375 | Brian Chau | Physical Medicine & Rehabilitation | 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 | 2013-04-17 |
| Find all providers in zip 92357 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881936375 | Andrew Chung | Ophthalmology | 11370 Anderson St # 1800, Loma Linda, CA 92354-3450 | 2013-03-22 |
| 1669739769 | Erika K Osterholzer | Ophthalmology | 11730 Anderson St., Ste. 2025, Loma Linda, CA 92354 | 2012-04-13 |
| 1891086138 | Kimberly Mei Chan | Ophthalmology | 11370 Anderson, Suite 1800, Loma Linda, CA 92354-3450 | 2011-04-20 |
| 1225339955 | Donald E. Shearer M.d., Inc. | Ophthalmology | 11346 Mountain View Ave Ste B, Loma Linda, CA 92354-3833 | 2010-11-11 |
| 1700022878 | Ralph Ervest Longway | Ophthalmology | 26560 Huron St., Loma Linda, CA 92354 | 2008-12-19 |
| 1497881007 | Inland Glaucoma Service Medical Corporation | Ophthalmology | 11320 Mountain View Ave Ste B, Loma Linda, CA 92354-3860 | 2007-02-26 |
| 1316048382 | Leslie Alexander Bruce-lyle | Ophthalmology | 11306 Mountain View Ave Ste E, Loma Linda, CA 92354-3832 | 2006-09-25 |
| 1154301596 | Donald E Shearer | Ophthalmology | 11346 Mountain View Ave, Ste B, Loma Linda, CA 92354-3833 | 2006-01-20 |
| 1275523375 | John C Affeldt | Ophthalmology | 11370 Anderson St Ste 1800, Loma Linda, CA 92354-3450 | 2005-10-28 |
| 1114525383 | Ritesh Gupta | Ophthalmology | 11370 Anderson St Ste 1800, Loma Linda, CA 92354-3450 | 2020-10-11 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92357 |
Please comment or provide details below to improve the information on DR. PHILIP HAROLD WALLAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.