JAKUB WOLOSZYN (NPI# 1376839449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376839449 |
| Entity Type | Individual |
| Full Name | JAKUB WOLOSZYN |
| Credential | MD |
| Practice Address |
11175 Campus St Loma Linda CA 92350-1700 |
| Mailing Address |
25865 Barton Rd Ste 101 Loma Linda CA 92354-3896 |
| Practice Telephone | 9095583650 |
| Mailing Telephone | 2147297191 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | 77814 | GA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | A124914 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11175 CAMPUS ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821181553 | Huitzilin Mauricio Olmecah | Neurological Surgery | 11175 Campus St, Department of Neurology, Coleman Pavilion - Rm. 11108, Loma Linda, CA 92350-1700 | 2006-10-02 |
| 1518490804 | Erika Kristine Reel | Student in an Organized Health Care Education/Training Program | 11175 Campus St, Cp-11108, Loma Linda, CA 92350-1700 | 2017-04-04 |
| 1295268530 | Kenna Brooke Schnarr | General Practice | 11175 Campus St, Coleman Pavilion, Room #11105, Loma Linda, CA 92350-1700 | 2017-04-04 |
| 1578004156 | Michelle Tanzil | Obstetrics & Gynecology | 11175 Campus St, Loma Linda, CA 92350-1700 | 2017-03-15 |
| 1639527286 | Leah Marie Humann | Student in an Organized Health Care Education/Training Program | 11175 Campus St, #21108, Loma Linda, CA 92350-1700 | 2016-05-24 |
| 1205281540 | Linninea Ebell | Nurse Practitioner | 11175 Campus St, Suite 11120, Loma Linda, CA 92350-1700 | 2016-04-23 |
| 1891182093 | Stewart Haven Barlow | Obstetrics & Gynecology | 11175 Campus St, Loma Linda, CA 92350-1700 | 2015-04-25 |
| 1295149771 | Shrinkhala Srivastava | Pediatrics | 11175 Campus St, Loma Linda, CA 92354 | 2014-06-12 |
| 1700298437 | Loma Linda University Medical Center | General Acute Care Hospital | 11175 Campus St, Loma Linda, CA 92350-1700 | 2014-05-29 |
| 1306263587 | Mallory Cohen | Pediatrics | 11175 Campus St, Cp- A1120, Loma Linda, CA 92350-1700 | 2014-03-25 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1225231533 | Keith Ryan Scharf | Surgery | Coleman Pavilion Rm 21111, 11175 Campus St., Loma Linda, CA 92350-0001 | 2007-06-06 |
| 1942419791 | Arvand Elihu | Surgery | Loma Linda University Medical Center, 11234 Anderson St. Cp21005, Loma Linda, CA 92354 | 2007-05-21 |
| 1124152178 | Richard Lester Yukl | Surgery | 24382 Lawton Ave, Loma Linda, CA 92354-3338 | 2007-03-14 |
| 1821084070 | Gregory Elton Saunders | Surgery | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2005-09-23 |
| 1780181552 | Alison Li-en Wong Dumitriu | Surgery | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-04-09 |
| 1902355589 | Fabrizio Luca | Surgery | 11370 Anderson St Ste 2100, Loma Linda, CA 92354 | 2016-09-23 |
| 1396108999 | Jon Floresca | Surgery | 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 | 2016-03-31 |
| 1083008940 | Kelly Andrew Lara | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350-1801 | 2015-03-27 |
| Find all providers in LOMA LINDA | ||||
| 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.