LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP, INC. (NPI# 1023255031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023255031 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
26780 Barton Road Redlands CA 92373-4308 |
| Mailing Address |
Po Box 30959 Los Angeles CA 90030-0959 |
| Practice Telephone | 9095583012 |
| Mailing Telephone | 9095583012 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | DAVID HINSHAW (PRESIDENT) |
| Authorized Official Telephone | 9095583012 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
26780 BARTON ROAD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| 1164053286 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 108, Redlands, CA 92373-4230 | 2020-01-28 |
| 1700252467 | Riverside Radiology Medical Group, Inc. | Radiology | 30700 E Sunset Dr S, Redlands, CA 92373-7448 | 2015-08-18 |
| 1144437559 | Charlene Larsen Andersen | Radiology | 762 Hilary Ln, Redlands, CA 92373-5618 | 2007-05-16 |
| 1023043551 | Pacific West Specialties, LLC | Radiology | 101 E Redlands Blvd Ste 212, Redlands, CA 92373-4724 | 2006-07-12 |
| 1588697924 | Shailendri Eswar-rao Philip | Radiology | 518 S Buena Vista St, Redlands, CA 92373-5804 | 2006-07-09 |
| 1528005188 | Susan Spieller | Radiology | 608 E Sunset Dr N, Redlands, CA 92373-6451 | 2006-06-01 |
| 1417904368 | Szabolcs S Mera | Radiology | 2 W. Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| 1043267156 | Kerry D Rold | Radiology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| 1801159736 | Beverly Radiology Medical Group | Radiology | 1901 W Lugonia Ave, Suite 110, Redlands, CA 92374-9703 | 2012-06-15 |
| Find all providers in REDLANDS | ||||
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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.