LOMA LINDA UNIVERSITY (NPI# 1154533826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154533826 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY |
| Practice Address |
11092 Anderson Street Room 1147 Loma Linda CA 92350 |
| Mailing Address |
11092 Anderson St Llu Special Care Dentistry Loma Linda CA 92350-1706 |
| Practice Telephone | 9095584611 |
| Practice Fax Number | 9095580106 |
| Mailing Telephone | 9095584375 |
| Mailing Fax Number | 9095580106 |
| Enumeration Date | 2007-05-04 |
| 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 | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| 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 |
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 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 |
| 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 ROOM 1147 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134253339 | Loma Linda University | Dentist | 11092 Anderson Street, Loma Linda, CA 92354 | 2007-03-16 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467867580 | Devin Anderson D,d.s. | Clinic/Center | 11261 Wareham Ct, Loma Linda, CA 92354-4875 | 2014-06-26 |
| 1699939918 | Loma Linda University | Clinic/Center | 11092 Anderson Street, Loma Linda University, School of Dentistry, Loma Linda, CA 92354 | 2008-07-16 |
| 1265692362 | Loma Linda University School of Dentistry | Clinic/Center | 24860 Taylor St, Loma Linda, CA 92354-2810 | 2008-06-11 |
| 1659569499 | Roger D.sohn Dds | Clinic/Center | 24950 Redlands Blvd, Suite B, Loma Linda, CA 92354-4032 | 2007-10-05 |
| 1285821280 | Loma Linda University School of Dentistry | Clinic/Center | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2007-10-03 |
| 1568530939 | Llusd Special Care Dentistry | Clinic/Center | 11092 Anderson St, Loma Linda, CA 92350-1706 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
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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.