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).
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 |
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 | GR0063622 | 05 |
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 |
Street Address |
27990 SHERMAN DRIVE |
City | SUN CITY |
State | CA |
Zip Code | 92381 |
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 |
Find all providers in SUN CITY |
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 |
---|---|---|---|---|
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 |
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.