LOMA LINDA VAMC (NPI# 1548651516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548651516 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA VAMC |
| Other Organization Name | BLYTHE VA CLINIC |
| Practice Address |
1273 W Hobsonway Blythe CA 92225-1423 |
| Mailing Address |
Po Box 94409 Cleveland OH 44101-4409 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BLYTHE VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871539981 | Loma Linda Vamc | Clinic/Center | 28078 Baxter Rd., Suite 540, Murrieta, CA 92563-1405 | 2006-06-20 |
| 1689613507 | Loma Linda Vamc | Clinic/Center | 12138 Industrial Blvd, Suite 120, Victorville, CA 92395-4757 | 2006-06-06 |
| 1750333845 | Loma Linda Vamc | Clinic/Center | 2045 Compton Ave, Suite 101, Corona, CA 92881-7286 | 2006-05-17 |
| 1225585870 | Loma Linda Vamc | Clinic/Center | 26001 Redlands Blvd, Redlands, CA 92373-7762 | 2016-09-01 |
| 1982644373 | Loma Linda Vamc | Clinic/Center | 8599 Haven Ave, Suite 102, Rancho Cucamonga, CA 91730-4849 | 2006-06-07 |
| 1376581876 | Loma Linda Vamc | Clinic/Center | 41990 Cook St, Bldg F, Ste 1004, Palm Desert, CA 92211-6100 | 2006-06-04 |
| 1609827153 | Loma Linda Vamc | General Acute Care Hospital | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-05-12 |
| 1255399952 | Loma Linda Vamc | Department of Veterans Affairs (VA) Pharmacy | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-05-02 |
| Street Address |
1273 W HOBSONWAY |
| City | BLYTHE |
| State | CA |
| Zip Code | 92225-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976179 | Corrections and Rehabilitation | Pharmacy | 19005 Wileys Well Road, Blythe, CA 92225 | 2020-03-12 |
| 1467943811 | County of Riverside | Community/Behavioral Health | 249 N Spring St, Blythe, CA 92225 | 2018-05-22 |
| 1760890982 | Keith Hoyt Wells I | Pharmacist | 616 E. Hobson Way, Blythe, CA 92225 | 2014-07-31 |
| 1447673967 | Silvia Herrera | Nurse Practitioner | 332 W Hobson Way, Blythe, CA 92225 | 2014-02-04 |
| 1821262767 | Marvin Paul Vernon | Social Worker | 246 N Hobson Way, Blythe, CA 92225 | 2008-04-22 |
| 1083882492 | Blythe Eye Care Medical Group | Optometrist | 600 E Hobson Way, Blythe, CA 92225 | 2008-02-19 |
| 1215159553 | Douglas John Meyer | Physical Therapist | 205 N. First Street, Suite E, Blythe, CA 92225 | 2007-05-03 |
| 1598895955 | Emmanuel R Mofu | Family Medicine | 495 North Main Street, Blythe, CA 92225 | 2007-03-06 |
| 1154408961 | Sheereen Ahranjani | Social Worker | 1297 W. Hobsonway, Blythe, CA 92225 | 2006-11-01 |
| 1326123399 | Salud | Family Medicine | 176 S Palm Drive, Blythe, CA 92225 | 2006-10-26 |
| Find all providers in zip 92225 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| 1336466598 | Reno Vamc | Clinic/Center | 110 Bella Way, Susanville, CA 96130-9102 | 2010-04-28 |
| Find all providers with the same taxonomy | ||||
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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.