LOMA LINDA UNIVERSITY MEDICAL CENTER (NPI# 1285837468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285837468 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY MEDICAL CENTER |
| Practice Address |
11750 Mount Vernon Ave # N251 Grand Terrace CA 92313-8202 |
| Mailing Address |
11750 Mt Vernon Ave N251 Grand Terrace CA 92313 |
| Practice Telephone | 9098245156 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JIAHCHIAHN SHELIA HSU (RESIDENT) |
| Authorized Official Telephone | 90098245156 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
A95434 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831414432 | Loma Linda University Medical Center | Exclusive Provider Organization | 11234 Anderson St Gme Office Cp 21005, Loma Linda, CA 92350-0001 | 2010-04-07 |
| 1568630622 | Loma Linda University Medical Center | General Acute Care Hospital | 8265 E Blackwillow Cir, Apt. 112, Anaheim, CA 92808-1958 | 2008-02-12 |
| 1215140389 | Loma Linda University Medical Center | General Acute Care Hospital | 26630 Barton Rd Apt 113, Redlands, CA 92373-4324 | 2007-05-07 |
| 1700298437 | Loma Linda University Medical Center | General Acute Care Hospital | 11175 Campus St, Loma Linda, CA 92350-1700 | 2014-05-29 |
| 1295903268 | Loma Linda University Medical Center | General Acute Care Hospital | 11234 Anderson St, Llumc House Staff Office, Loma Linda, CA 92354-2804 | 2008-02-13 |
| 1912033846 | Loma Linda University Medical Center | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY MEDICAL CENTER - MURRIETA | 28062 Baxter Rd, Murrieta, CA 92563-1401 |
| Street Address |
11750 MOUNT VERNON AVE # N251 |
| City | GRAND TERRACE |
| State | CA |
| Zip Code | 92313-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427321322 | Noelle Angelica Leon | Technician, Pathology | 22799 Desoto Street, Grand Terrace, CA 92313 | 2012-02-23 |
| 1487885497 | Impression Healthcare Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 22573 Barton Rd., Grand Terrace, CA 92313 | 2009-08-07 |
| 1528230869 | Patricia Zappia | Specialist | 22927 Grand Terrace Road, Grand Terrace, CA 92313 | 2008-03-27 |
| 1558579755 | Robert Mitchell Norman | Psychiatry & Neurology | Riverside San Bernardino Indian Health, Inc., 11980 Mt Vernon Ave, Grand Terrace, CA 92313 | 2007-05-19 |
| 1477752913 | Joseph Allan Pruitt | Optometrist | 11980 Mount Vernon Ave, Grand Terrace, CA 92313 | 2007-07-14 |
| 1770725939 | Jarco Medical Group, LLC | Clinic/Center | 12030 La Cadena Dr, Grand Terrace, CA 92313-3613 | 2009-04-01 |
| 1376015164 | Trescina Michelle Hernandez | Assistant Behavior Analyst | 22887 Brentwood St, Grand Terrace, CA 92313-4908 | 2018-12-18 |
| 1811037492 | Jonbec Care Inc. | Intermediate Care Facility, Mentally Retarded | 11868 Canal St, Grand Terrace, CA 92313-4941 | 2007-02-06 |
| 1922028406 | Heather Carriedo | Pediatrics | 23251 Glendora Dr, Grand Terrace, CA 92313-4965 | 2006-07-20 |
| 1760683866 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 22325 Barton Rd, Grand Terrace, CA 92313-5006 | 2007-05-29 |
| Find all providers in zip 92313 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174061279 | Promoj,inc | General Acute Care Hospital | 1254 W 8th St Apt 2, San Pedro, CA 90731-2944 | 2017-02-09 |
| 1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
| 1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
| 1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
| 1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
| 1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND TERRACE |
| Zip Code | 92313 |
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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.