LOMA LINDA UNIVERSITY RADIATION MEDICINE (NPI# 1093945578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093945578 |
| Entity Type | Organization |
| Organization Name | LOMA LINDA UNIVERSITY RADIATION MEDICINE |
| Practice Address |
81 Highland Springs Ave Beaumont CA 92223-2511 |
| Mailing Address |
Po Box 30969 Los Angeles CA 90030-0969 |
| Practice Telephone | 9095583012 |
| Mailing Telephone | 9095583012 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |
| Authorized Official Name | JERRY SLATER (PRESIDENT) |
| Authorized Official Telephone | 9095583014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326094244 | Loma Linda University Radiation Medicine | Radiology | 5974 Pentz Road, Paradise, CA 95969 | 2006-05-25 |
| 1134175052 | Loma Linda University Radiation Medicine | Radiology | 1517 North Downs St, Ridgecrest, CA 93555 | 2006-05-25 |
| 1497701312 | Loma Linda University Radiation Medicine | Radiology | 27990 Sherman Drive, Sun City, CA 92381 | 2006-05-25 |
| 1104118140 | Loma Linda University Radiation Medicine | Radiology | 28062 Baxter Road, Murrieta, CA 92563 | 2011-05-10 |
| 1699721514 | Loma Linda University Radiation Medicine | Radiology | 11234 Anderson St, Loma Linda, CA 92354 | 2006-05-25 |
| Street Address |
81 HIGHLAND SPRINGS AVE |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379768 | Lui Kong Yap | Physician Assistant | 81 Highland Springs Ave, Ste.200, Beaumont, CA 92223 | 2006-05-02 |
| 1174050611 | Saida Hardoon | Family Medicine | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2017-05-15 |
| 1629482641 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 | 2014-06-18 |
| 1316381650 | Amar Dixit | Allergy & Immunology | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2013-04-17 |
| 1124369087 | Douglas Stephan Anders | Family Medicine | 81 Highland Springs Ave, Suite 306, Beaumont, CA 92223-3170 | 2013-03-01 |
| 1790030773 | Seventh Day Adventists Loma Linda University Medical Center, Inc. | Pharmacy | 81 Highland Springs Ave, Suite 90, Beaumont, CA 92223-3170 | 2012-07-17 |
| 1871766121 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2008-04-08 |
| 1982709432 | Mark Thomas Reis | Orthopaedic Surgery | 81 Highland Springs Ave, Suite 103, Beaumont, CA 92223-3170 | 2006-09-13 |
| 1407898646 | Sherif F. Khalil | Internal Medicine | 81 Highland Springs Ave, Ste 200, Beaumont, CA 92223 | 2006-06-12 |
| 1063452811 | Susannah Reay Elton | Physician Assistant | 81 Highland Springs Ave, Beaumont, CA 92223-3170 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613038 | Danny C Chow | Radiology | 755 S 11th St, Ste 100a, Beaumont, TX 77701-3732 | 2005-07-20 |
| 1336404748 | Chisaroka Wobiareri Echendu | Radiology | 310 N 11th St, Beaumont, TX 77702-1802 | 2012-07-11 |
| 1992033559 | Apryl Scott Mensah | Radiology | 690 N 14th St Fl 3, Beaumont, TX 77702 | 2009-11-19 |
| 1669414777 | Henry Oldham Williams | Radiology | 690 N 14th St, Third Floor, Beaumont, TX 77702-1449 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| 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.