DOUGLAS SODERBLOM, O.D. (NPI# 1811236490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811236490 |
| Entity Type | Organization |
| Organization Name | DOUGLAS SODERBLOM, O.D. |
| Other Organization Name | LOMA LINDA OPTOMETRY |
| Practice Address |
25815 Barton Rd Suite 104 Loma Linda CA 92354-3893 |
| Practice Telephone | 9094783345 |
| Practice Fax Number | 9094789337 |
| Mailing Telephone | 9094783345 |
| Mailing Fax Number | 9094789337 |
| Enumeration Date | 2013-02-03 |
| Last Update Date | 2013-02-03 |
| Authorized Official Name | DR. DOUGLAS SODERBLOM (OWNER) |
| Authorized Official Telephone | 9094783345 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
10169TG | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Loma Linda Optometry | Doing Business As Name - Organization |
| Street Address |
25815 BARTON RD SUITE 104 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190747 | Douglas Soderblom | Optometrist | 25815 Barton Rd, Suite 104, Loma Linda, CA 92354-3893 | 2006-01-31 |
| 1942813514 | Janis Debra Jacobson | Nurse Practitioner | 25815 Barton Rd, Loma Linda, CA 92354-3893 | 2020-08-24 |
| 1386201770 | Jcm Consulting, LLC | Registered Nurse | 25815 Barton Rd, Loma Linda, CA 92354-3893 | 2019-05-22 |
| 1699275644 | Soliman-rizkalla Clinic, Inc. | Clinic/Center | 25815 Barton Rd, Loma Linda, CA 92354-3893 | 2018-02-16 |
| 1235532086 | Dr Soliman and Dr Rizkalla Hospitalis | Non-Pharmacy Dispensing Site | 25815 Barton Rd, Suite 102, Loma Linda, CA 92354-3893 | 2014-10-07 |
| 1902116270 | Christina Karras | Physician Assistant | 25815 Barton Rd, Suite 101, Loma Linda, CA 92354 | 2010-10-20 |
| 1235254848 | Teresa Pfiefle Avants | Obstetrics & Gynecology | 25815 Barton Rd, Suite C103, Loma Linda, CA 92354-3893 | 2007-03-20 |
| 1649362013 | Maher Roman | Internal Medicine | 25815 Barton Rd, Suite 102, Loma Linda, CA 92354-3893 | 2006-09-29 |
| 1922199306 | Kenneth Dale Macknet Jr. | Dermatology | 25815 Barton Rd, Suite 101, Loma Linda, CA 92354-3893 | 2006-09-28 |
| 1639104391 | Cathy A Macknet | Dermatology | 25815 Barton Rd, Ste 101, Loma Linda, CA 92354-3894 | 2006-07-11 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811343924 | Carie Alise Leilani Anderson | Clinic/Center | 25761 Lawton Ave, Loma Linda, CA 92354-3823 | 2016-05-06 |
| 1699275644 | Soliman-rizkalla Clinic, Inc. | Clinic/Center | 25815 Barton Rd, Loma Linda, CA 92354-3893 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on DOUGLAS SODERBLOM, O.D..
| 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.