LOMA LINDA UNIVERSITY RADIATION MEDICINE (NPI# 1326094244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326094244 |
Entity Type | Organization |
Organization Name | LOMA LINDA UNIVERSITY RADIATION MEDICINE |
Practice Address |
5974 Pentz Road Paradise CA 95969 |
Mailing Address |
Po Box 30969 Los Angeles CA 90030-0969 |
Practice Telephone | 5308779361 |
Practice Fax Number | 9095583905 |
Mailing Telephone | 9095583014 |
Mailing Fax Number | 9095583292 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JERRY SLATER (PRESIDENT LLU RADIATION MEDICINE) |
Authorized Official Telephone | 9095583014 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0063627 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1093945578 | Loma Linda University Radiation Medicine | Radiology | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2009-07-20 |
1699721514 | Loma Linda University Radiation Medicine | Radiology | 11234 Anderson St, Loma Linda, CA 92354 | 2006-05-25 |
Street Address |
5974 PENTZ ROAD |
City | PARADISE |
State | CA |
Zip Code | 95969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063722486 | Kirsten Brooke Griffin Schwab | Physician Assistant | 5974 Pentz Road, Feather River Hospital Emergency Department, Paradise, CA 95969 | 2010-10-19 |
1326134206 | Feather River Hospital | Home Infusion | 5974 Pentz Road, Paradise, CA 95969 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
Find all providers in zip 95969 |
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 |
---|---|---|---|---|
1710144688 | North Valley Radiation Oncology Medical Group Inc | Radiology | 5629 Canyon View Dr, Suite A, Paradise, CA 95969-5569 | 2008-05-19 |
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 |
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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.