LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP (NPI# 1659664654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659664654 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP |
| Practice Address |
28062 Baxter Rd Murrieta CA 92563-1401 |
| Mailing Address |
Po Box 1740 Loma Linda CA 92354-0240 |
| Practice Telephone | 9512904580 |
| Practice Fax Number | 9512904932 |
| Mailing Telephone | 9095585170 |
| Mailing Fax Number | 9097938728 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | DR. BRIAN BULL (PRESIDENT) |
| Authorized Official Telephone | 9095584094 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
05D2021238 | CA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC. | 1911 W Park Ave, Redlands, CA 92373-8045 |
| Street Address |
28062 BAXTER RD |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988175 | Nalan Nmn Narine | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2005-08-09 |
| 1245846146 | Loma Linda Anesthesia Services A Medical Corporation | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-09-17 |
| 1518585280 | Luke Edgson | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-07-09 |
| 1821611674 | Angela Lynne Palmer | Nurse Practitioner | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-05-27 |
| 1841812567 | Mgmd Anesthesia Inc | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-05-15 |
| 1629698733 | Christopher Michael Phillips | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-18 |
| 1871113050 | Ted Park | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-17 |
| 1639702053 | Jose I De Armas II | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-02-13 |
| 1235779521 | Cep America - Neurology PC | Psychiatry & Neurology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-01-14 |
| 1184260697 | Landmark Anesthesia Medical Group Llumc | Anesthesiology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881867695 | Stephen Dongjin Oh | Pathology | 29185 Branwin St, Murrieta, CA 92563-5877 | 2008-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 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.