NPIMap

Organization Active NPI

Loma Linda University

  • Medical Specialty Clinic/Center
  • Loma Linda, CA
National Provider Identifier
1003923061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LOMA LINDA UNIVERSITY
Practice address
Loma Linda University-Center for Health Promotion
24785 Stewart Street, Room 111
Loma Linda, CA 92350-0001
Phone
(909) 558-4594
Fax
(909) 558-4838
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Verlon W. Strauss, CPA, MBA
Title
Vice Chancellor-Loma Linda Univ
Phone
(909) 558-4543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

Loma Linda University-Center for Health Promotion
24785 Stewart Street, Room 111
Loma Linda, CA 92350-0001

Mailing address

Loma Linda University-Center for Health Promotion
24785 Stewart Street, Room 111
Loma Linda, CA 92350-0001
Phone (909) 558-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000556 CA Part B Supplier - Clinic/Group Practice 7911971833 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Loma Linda, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda University School of Dentistry20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

24785 Stewart St
Rm 111
Loma Linda, CA 92350
Phone (909) 558-4594

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003923061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOMA LINDA UNIVERSITY-CENTER FOR HEALTH PROMOTION",
            "address_2": "24785 STEWART STREET, ROOM 111",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001",
            "telephone_number": "909-558-4594",
            "fax_number": "909-558-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOMA LINDA UNIVERSITY-CENTER FOR HEALTH PROMOTION",
            "address_2": "24785 STEWART STREET, ROOM 111",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001",
            "telephone_number": "909-558-4594",
            "fax_number": "909-558-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "VERLON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE CHANCELLOR-LOMA LINDA UNIV",
        "authorized_official_telephone_number": "909-558-4543",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.