LOMA LINDA UNIVERSITY (NPI# 1134253339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134253339 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY |
| Practice Address |
11092 Anderson Street Loma Linda CA 92354 |
| Practice Telephone | 9095584613 |
| Practice Fax Number | 9095584192 |
| Mailing Telephone | 9095584613 |
| Mailing Fax Number | 9095584192 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | MR. RODNEY DALE NEAL (VICE PRESIDENT) |
| Authorized Official Telephone | 9095584543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
2055 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376044040 | Loma Linda University | Physical Therapist | 25455 Barton Rd Ste 208a, Loma Linda, CA 92354-3177 | 2018-02-27 |
| 1336582964 | Loma Linda University | General Acute Care Hospital | 1659 E G St Apt 243, Ontario, CA 91764-4488 | 2013-04-13 |
| 1831532589 | Loma Linda University | General Acute Care Hospital | 11060 Anderson St, Loma Linda, CA 92350-0001 | 2013-04-12 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1780740704 | Loma Linda University | Dentist | 159 W Hospitality Ln Ste 201, San Bernardino, CA 92408-3348 | 2006-12-28 |
| 1962566679 | Loma Linda University | Clinic/Center | 11145 Anderson St, Suite 205, Loma Linda, CA 92350-0001 | 2006-12-20 |
| 1639270846 | Loma Linda University | Clinic/Center | 11092 Anderson St., Loma Linda University School of Dentistry, Loma Linda, CA 92354 | 2006-09-26 |
| 1003923061 | Loma Linda University | Clinic/Center | Loma Linda University-center for Health Promotion, 24785 Stewart Street, Room 111, Loma Linda, CA 92350-0001 | 2006-08-24 |
| 1720443526 | Loma Linda University | Pharmacy | 250 S G St, San Bernardino, CA 92410-3320 | 2015-12-21 |
| 1861879892 | Loma Linda University | Pharmacist | 11 Tennessee St, Apt #179, Redlands, CA 92373-5420 | 2015-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY ADVENTIST HEALTH SCIENCES CENTER | 11175 Campus St Csp 11006, Loma Linda, CA 92354 |
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA | 28062 Baxter Rd, Murrieta, CA 92563-1401 |
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC. | 1911 W Park Ave, Redlands, CA 92373-8045 |
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY SHARED SERVICES | 11175 Campus St, Loma Linda, CA 92354-1700 |
| Street Address |
11092 ANDERSON STREET |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093130965 | Tory Silvestrin | Dentist | 11092 Anderson Street, Loma Linda University School of Dentistry, Loma Linda, CA 92354 | 2014-02-28 |
| 1336459155 | Marilynn Jean Heyde | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-10-14 |
| 1437469251 | Shelley L. Hayton | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-10-14 |
| 1528378346 | Michelle Erin Einig | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-10-14 |
| 1073820932 | Iris Hyunjoo Choi | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2010-09-13 |
| 1376878918 | Robert Douglas Walter | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-10-15 |
| 1497996078 | Bonnie J. Retamozo | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-03-12 |
| 1689814535 | Jeffrey Marc Hwang | Dentist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2009-03-04 |
| 1144466442 | Carrie Davies | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-12-17 |
| 1154576254 | Patty G. Tappen | Dental Hygienist | 11092 Anderson Street, Llu School of Dentistry, Loma Linda, CA 92350-0001 | 2008-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350485 | Katya Archambault | Dentist | 9245 Regents Rd Unit M208, La Jolla, CA 92037-9266 | 2019-01-16 |
| 1609101120 | Louis T Kircos | Dentist | 666 3rd St, Suite 222, San Rafael, CA 94901-3356 | 2009-10-16 |
| 1528200045 | Judy Janette Hurt | Dentist | 2920 F St Ste B2, Bakersfield, CA 93301-1829 | 2009-03-30 |
| 1780833087 | Shaza Mardini | Dentist | 2745 Via Villaggio, Sacramento, CA 95864-3788 | 2008-09-11 |
| 1316151202 | Montgomery Radiographic Svs | Dentist | 720 N Tustin Ave Ste 204, Santa Ana, CA 92705-3606 | 2007-05-09 |
| 1679580575 | Stuart C. White | Dentist | 10833 Le Conte Ave. Chs 10-165, Los Angeles, CA 90095-1668 | 2006-08-02 |
| 1396195483 | Shikha Rathi- Raythatha | Dentist | 2110 Professional Dr, Suite 101, Roseville, CA 95661-3752 | 2016-06-20 |
| 1366575490 | Francis H. Chung, Dds, Inc | Dentist | 2460 Mission St, Suite #109, San Francisco, CA 94110-2430 | 2007-03-14 |
| 1356476865 | Regents of University of California | Dentist | 10833 Le Conte Ave, Chs 10 -165, Los Angeles, CA 90095-1668 | 2007-02-23 |
| 1538247754 | Sotirios Tetradis | Dentist | 10833 Le Conte Ave, Chs 10-165, Los Angeles, CA 90095-1668 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.