ALFRED C COTTRELL JR. (NPI# 1609893809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609893809 |
| Entity Type | Individual |
| Full Name | ALFRED C COTTRELL JR. |
| Credential | M.D. |
| Practice Address |
11370 Anderson St Ste 3150 Loma Linda CA 92354-3450 |
| Mailing Address |
56994 File Number Los Angeles CA 90074-6994 |
| Practice Telephone | 9095582191 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G62443 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G624430 | 05 |
| Street Address |
11370 ANDERSON ST STE 3150 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310860 | Nerida T Bates | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2005-10-14 |
| 1922520709 | Jodi Datema | Speech-Language Pathologist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2017-07-12 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1356710875 | Jody Michelle Gonzalez | Pharmacist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-09-15 |
| 1558749382 | Stephanie Laroche Fegale | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-05-13 |
| 1033597018 | Craig Antone White | Ophthalmology | 11370 Anderson St, Loma Linda, CA 92354 | 2015-05-11 |
| 1104246016 | Juthamas Kositsawat | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354 | 2014-04-17 |
| 1972941037 | Allie Ann Maus | Audiologist | 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | 2013-06-11 |
| 1578908240 | Anh Nguyen Do | Dentist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2013-05-07 |
| 1376803288 | Philip David Eaton | Radiology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2012-05-24 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487031175 | Chidinma Enyinna | Internal Medicine | Loma Linda University Health Internal Medicine Residenc, 11234 Anderson Street, Loma Linda, CA 92354 | 2015-05-01 |
| 1932513488 | Afshin Ahoubim | Internal Medicine | 11234 Anderson St, Loma Linda, CA 92354 | 2014-06-12 |
| 1821356288 | Lakshmi Lakshmanan Ganesan | Internal Medicine | 11234 Anderson St # Mc-1516, Loma Linda, CA 92354-2804 | 2012-04-24 |
| 1295968733 | Mohammad A A Sharif | Internal Medicine | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2009-09-01 |
| 1992818892 | Thanh X Hoang | Internal Medicine | 11370 Anderson St, Ste 3150, Loma Linda, CA 92354-3450 | 2006-08-16 |
| 1588675359 | Navin Jaipaul | Internal Medicine | Va Loma Linda Healthcare System, 11201 Benton Street (111n), Loma Linda, CA 92357-0001 | 2006-08-10 |
| 1194735514 | Seyed-ali Sadjadi | Internal Medicine | 11201 Benton St, 111n, Loma Linda, CA 92357-1000 | 2006-08-08 |
| 1669496832 | Rafael Villicana | Internal Medicine | 25865 Barton Rd, Suite 101, Loma Linda, CA 92354-3895 | 2006-07-27 |
| 1801817333 | Richard J Swabb | Internal Medicine | 11370 Anderson St, Ste 3150, Loma Linda, CA 92354-3450 | 2006-07-21 |
| 1801813597 | Seigmund Teichman | Internal Medicine | 11370 Anderson St, Ste 3150, Loma Linda, CA 92354-3450 | 2006-07-17 |
| Find all providers in LOMA LINDA | ||||
| 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.