LOMA LINDA UNIVERSITY RADIATION MEDICINE


Address: 27990 Sherman Drive, Sun City, CA 92381
Phone: 9516721931

LOMA LINDA UNIVERSITY RADIATION MEDICINE (NPI# 1497701312) 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) 1497701312
Entity Type Organization
Organization Name LOMA LINDA UNIVERSITY RADIATION MEDICINE
Practice Address 27990 Sherman Drive
Sun City
CA 92381
Mailing Address Po Box 30969
Los Angeles
CA 90030-0969
Practice Telephone 9516721931
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
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 GR0063622 05

Other Provider IDs and Locations

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
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 27990 SHERMAN DRIVE
City SUN CITY
State CA
Zip Code 92381

Providers in the same city

NPI Name Taxonomy Address Enumeration
1871193292 Paulette Vital-herne Nurse Practitioner 4449 Old Highway 41 S, Sun City, FL 33586-9700 2020-10-26
1477152452 Arcadia Foot & Ankle PC Podiatrist 9421 W Bell Rd Ste 105, Sun City, AZ 85351-1361 2020-10-21
1033717582 Erica Nicole Trocino Counselor 11811 W Softwind Dr, Sun City, AZ 85373-5029 2020-10-15
1760090427 Debra Shannon Witthar Nurse Practitioner 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 2020-07-20
1285252510 Sun City Internal Medicine Pllc Internal Medicine 10503 W Thunderbird Blvd Ste 108, Sun City, AZ 85351-3047 2020-07-13
1295353324 The Village Pediatric Therapy LLC Occupational Therapist 24723 N 115th Ave, Sun City, AZ 85373-9723 2020-07-06
1669097366 Silvia None Davidson Clinic/Center 10001 W Bell Rd Ste 144, Sun City, AZ 85351-1286 2020-06-09
1003439712 Comprehensive Surgical Care of Sun City Clinic/Center 14642 N Del Webb Blvd Ste 100, Sun City, AZ 85351-2101 2020-05-28
1508489311 Southern California Psychiatric Group, Inc Psychologist 28125 Bradley Rd Ste 290a, Sun City, CA 92586-2248 2020-05-27
1285254813 Foot & Ankle Specialists of Arizona Podiatrist 10615 W Thunderbird Blvd Ste B100, Sun City, AZ 85351-2748 2020-04-23
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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
1811307333 Joshua R Niska Radiology Bmda @ Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2014-05-06
1679767768 Simul D Parikh Radiology Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2007-08-31
1558368241 Steven O Hiaasen Radiology 13184 N 103rd Dr, Sun City, AZ 85351-3038 2005-07-07
1689182883 Alliance Oncology of Arizona, LLC Radiology 13184 N 103rd Dr, Sun City, AZ 85351-3038 2018-01-22
1245635747 Ravinder Clayton Radiology Banner Boswell Medical Center, 10401 W. Thunderbird Blvd, Sun City, AZ 85351 2014-10-27
1588645915 James Clay Marsh Radiology 13184 N 103rd Dr, Sun City, AZ 85351-3038 2005-11-11
1457358152 Thomas D Runyon Radiology 13184 N 103rd Dr, Sun City, AZ 85351-3038 2005-07-07
1821095530 Lucia L Clover Radiology 13184 N 103rd Dr, Sun City, AZ 85351-3038 2005-07-07

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
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Competitor

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City SUN CITY
Zip Code 92381

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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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