LOMA LINDA UNIVERSITY RADIATION MEDICINE


Address: 5974 Pentz Road, Paradise, CA 95969
Phone: 5308779361

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0063627 05

Other Provider IDs and Locations

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

Office Location

Street Address 5974 PENTZ ROAD
City PARADISE
State CA
Zip Code 95969

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PARADISE
Zip Code 95969

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Dataset Information

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.

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