JOEL R MUNDALL (NPI# 1477762037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477762037 |
Entity Type | Individual |
Full Name | JOEL R MUNDALL |
Credential | MD |
Practice Address |
24785 Stewart St Student Health, Evans Hall, Ste 111 Loma Linda CA 92354-2751 |
Practice Telephone | 9095588770 |
Practice Fax Number | 9095580433 |
Mailing Telephone | 9095588770 |
Mailing Fax Number | 9095580433 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2010-08-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | A101059 | CA | Allopathic & Osteopathic Physicians |
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A101059 | CA | Allopathic & Osteopathic Physicians |
Street Address |
24785 STEWART ST STUDENT HEALTH, EVANS HALL, STE 111 |
City | LOMA LINDA |
State | CA |
Zip Code | 92354-2751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164637872 | April Engle Wilson | Preventive Medicine | 24785 Stewart St, Evans Hall Suite 111, Loma Linda, CA 92350-1721 | 2007-05-14 |
1588128177 | Ashley Erazo | Physician Assistant | 24785 Stewart St, Loma Linda, CA 92350-1721 | 2019-01-28 |
1144725854 | Rafik Saleh | Student in an Organized Health Care Education/Training Program | 24785 Stewart St, Loma Linda, CA 92350 | 2018-03-26 |
1306372073 | Faculty Physicians and Surgeons of Llusm | Preventive Medicine | 24785 Stewart St, Ste 111, Loma Linda, CA 92350-1721 | 2017-05-02 |
1891181269 | Courtney Marquez | Physician Assistant | 24785 Stewart St, Evans Hall Room 201, Loma Linda, CA 92350-1721 | 2015-04-12 |
1316369051 | Avery Karyn Erickson Anderson | Registered Nurse | 24785 Stewart St, Loma Linda, CA 92350-1721 | 2014-01-15 |
1487972261 | Aileen Kit Ying Lo | Preventive Medicine | 24785 Stewart St, Suite 204, Loma Linda, CA 92350-1721 | 2010-05-04 |
1528383528 | Megan Jonee Volkov | Nurse Practitioner | 24785 Stewart St, Loma Linda, CA 92354-2751 | 2010-04-01 |
1356670392 | Janet E Hackleman | Marriage & Family Therapist | 24785 Stewart St, Loma Linda, CA 92354-2751 | 2009-12-22 |
1023258290 | Serena Tonstad | Preventive Medicine | 24785 Stewart St, Evans Hall, Room 111, Loma Linda, CA 92350-0001 | 2009-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
Find all providers in zip 92354 |
Taxonomy Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760740427 | Maryam Sanjari | Preventive Medicine | 11234 Anderson St, Gme Office, Csp 21005, Loma Linda, CA 92354-2804 | 2012-05-01 |
1083972350 | Tonya Elizabeth Cramer | Preventive Medicine | 24785 Stewart Street Evans Hall Suite 204, Loma Linda, CA 92350-1000 | 2012-04-24 |
1275768350 | Richel Yolandi Strydom | Preventive Medicine | 24785 Stewart St Ste 204, Loma Linda, CA 92350-1721 | 2009-05-19 |
1164637872 | April Engle Wilson | Preventive Medicine | 24785 Stewart St, Evans Hall Suite 111, Loma Linda, CA 92350-1721 | 2007-05-14 |
1073875753 | Rebecca Sueyoung Chung | Preventive Medicine | 24785 Stewart St Evans Hl Ste 204, Loma Linda, CA 92350-2804 | 2012-06-08 |
1487972261 | Aileen Kit Ying Lo | Preventive Medicine | 24785 Stewart St, Suite 204, Loma Linda, CA 92350-1721 | 2010-05-04 |
1003133786 | Karen Rachel Studer | Preventive Medicine | 11234 Anderson Street, Graduate Medical Education Office Cp 21005, Loma Linda, CA 92354-2804 | 2010-04-21 |
1023258290 | Serena Tonstad | Preventive Medicine | 24785 Stewart St, Evans Hall, Room 111, Loma Linda, CA 92350-0001 | 2009-03-02 |
1336317239 | Ralph Warner Clark | Preventive Medicine | 11234 Anderson Street, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354 | 2008-02-13 |
1356550909 | Stephen Kiran Kumar | Preventive Medicine | 24785 Stewart St, Evans Hall, Room 101, Loma Linda, CA 92350-0001 | 2007-05-21 |
Find all providers in LOMA LINDA |
City | LOMA LINDA |
Zip Code | 92354 |
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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.