OLHA FOMENKO


Address: Va Medical Center 11201 Benton St, Loma Linda, CA 92357-0001
Phone: 9098257084

OLHA FOMENKO (NPI# 1487860896) 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) 1487860896
Entity Type Individual
Full Name OLHA FOMENKO
Credential MD
Practice Address Va Medical Center 11201 Benton St
Loma Linda
CA 92357-0001
Mailing Address Va Medical Center 11201 Benton St
Attn: Research Service / 151
Loma Linda
CA 92357-0001
Practice Telephone 9098257084
Practice Fax Number 9097964508
Mailing Telephone 9098257084
Mailing Fax Number 9097964508
Enumeration Date 2007-05-15
Last Update Date 2014-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
52909-20 WI Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
A105788 CA Allopathic & Osteopathic Physicians

Office Location

Street Address VA MEDICAL CENTER 11201 BENTON ST
City LOMA LINDA
State CA
Zip Code 92357-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184649527 Susan Wilson Damron Psychologist Va Medical Center 11201 Benton St, Behavioral Medicine 116b, Loma Linda, CA 92357-0001 2006-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679916027 Nicole Kristine Shah-ghassemzadeh Internal Medicine Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 2013-04-16
1760628598 Taranjit Natt Internal Medicine 11201 Benton St # 111-om, Loma Linda, CA 92357 2008-12-29
1548355076 Annette A Boyd -hampton Nurse Practitioner 11201 Benton St. -111g, Loma Linda, CA 92357 2006-10-03
1396830766 Maudie Cantrell Foy Nurse Practitioner 11201 Benton St. (11cp), Loma Linda, CA 92357 2006-10-03
1427154715 Kenneth Wong Pharmacist 11201 Benton St. (119), Loma Linda, CA 92357 2006-09-15
1801909577 Paul Lindberg Orthotist 11201 Benton St./121, Loma Linda, CA 92357 2006-08-16
1992728703 Harry Chen Pharmacist 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 2006-07-25
1699222661 Nathanial Benjaman Hawkins Psychologist 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 2016-09-07
1699129692 Victor Francis Tamagna Hogen Internal Medicine 11201 Benton St, Loma Linda, CA 92357 2016-04-16
1063877959 Irene Thung Pathology 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 2015-12-21
Find all providers in zip 92357

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467698001 Matheni Sathananthan Internal Medicine 11234 Anderson St, Loma Linda, CA 92354-2804 2009-01-04
1821295247 Silvana Marisa Giannelli Internal Medicine 11370 Anderson St Ste 3400, Loma Linda, CA 92354 2007-06-29
1902902042 Scott W Lee Internal Medicine 11370 Anderson St, Loma Linda, CA 92354-3450 2006-09-16
1881790111 J. Lamont Murdoch Internal Medicine 11370 Anderson St, Loma Linda, CA 92354-3450 2006-09-15
1790895803 Takahiro Otsuka Internal Medicine 11370 Anderson St, Suite 3400, Loma Linda, CA 92354-3450 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710590450 Napa Valley Internal Medicine Internal Medicine 999 Adams St Ste 201, Saint Helena, CA 94574-1149 2020-08-24
1821612565 Almoutaz Bellah Shakally Md, Inc Internal Medicine 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 2020-05-28
1366061863 Karen L. Herbst, Md, PC Internal Medicine 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 2020-04-14
1619502572 Pacific Endocrinology Internal Medicine 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 2020-03-11
1659910743 Robert Alan Rubin Internal Medicine 403 Paseo Miramar, Redondo Beach, CA 90277-6288 2020-01-06
1336790914 Northeast Community Clinic Internal Medicine 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 2019-09-24
1124585393 Steady Health Inc Internal Medicine 100 Bush St Ste 1600, San Francisco, CA 94104-3918 2019-02-25
1780140673 Jennifer Anne Nuovo Internal Medicine 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 2019-02-15
1407324379 Chrysalis Health of California Internal Medicine 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 2018-11-08
1881172864 Todd Lorenz Internal Medicine 5 Robert Rd, Orinda, CA 94563-3215 2018-08-01
Find all providers with the same taxonomy

Competitor

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City LOMA LINDA
Zip Code 92357

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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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