MRS. EMERITA GELUZ GOODRICH (NPI# 1083637284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083637284 |
Entity Type | Individual |
Full Name | MRS. EMERITA GELUZ GOODRICH |
Credential | NP |
Practice Address |
11201 Benton St Loma Linda CA 92357-1000 |
Mailing Address |
2506 S Mccarty Dr Colton CA 92324-9221 |
Practice Telephone | 9098257084 |
Practice Fax Number | 9097773291 |
Mailing Telephone | 9098249207 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 286500000X | Military Hospital | RN262032 NP10031 | CA | Hospitals |
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 |
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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 | 286500000X |
Grouping | Hospitals |
Classification | Military Hospital |
A health care facility operated by the Department of Defense. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265648018 | Va Hospital Loma Linda | Military Hospital | Va Hospital Loma Linda, 11201 Benton St., Loma Linda, CA 92357-0001 | 2007-05-15 |
1801909478 | Va Loma Linda Health Care System (112g) | Military Hospital | 25915 Brookmere Ave, Loma Linda, CA 92354-3966 | 2006-08-16 |
1922012152 | Samantha Hein Wong | Military Hospital | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508477258 | Micol Paul Zabala | Military Hospital | 3675 Lofberg St, San Diego, CA 92124-3221 | 2020-08-14 |
1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
1831563535 | Dfas-cl/jflp | Military Hospital | Mpmd 01c, Box 555191, Camp Pendleton, CA 92055-5191 | 2015-11-18 |
1851707418 | Hand of Passion | Military Hospital | 2112 Century Park Ln Unit 218, Century City, CA 90067-3314 | 2014-07-03 |
1396156527 | Jonathan Kawi | Military Hospital | 8848 Corvus Pl, San Diego, CA 92126-1921 | 2014-05-09 |
1427302017 | Department of Va | Military Hospital | 1585 Trailwood Ave, Chula Vista, CA 91913-2994 | 2012-11-03 |
1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
1962770990 | Alma Irene Blackman | Military Hospital | 9119 Jamacha Rd, 149, Spring Valley, CA 91977-4162 | 2011-12-05 |
1841596301 | Va San Diego Healthcare System | Military Hospital | 4260 Porte De Palmas Unit 60, San Diego, CA 92122-5159 | 2011-02-01 |
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City | LOMA LINDA |
Zip Code | 92357 |
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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.