Loma Linda Medical Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L0512 Issued in TX

Legal business name

LOMA LINDA MEDICAL CLINIC

Doing business as

Trinity Pediatrics

Practice address

273 E Ovilla Rd Ste 4
Red Oak, TX 75154-2605

Phone

(972) 617-6660

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Rebeca Eileen Piantini-Alvarez, M.D.

Title

M.D.

Phone

(909) 528-5119

Specialties & licenses 1

Addresses

Other names 1

• Trinity Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1093239030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 E OVILLA RD STE 4",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542605",
            "telephone_number": "972-617-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E OVILLA RD STE 4",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751542605",
            "telephone_number": "972-617-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6105 Windcom Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937890",
            "country_code": "US",
            "telephone_number": "972-473-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOMA LINDA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "PIANTINI-ALVAREZ",
        "authorized_official_first_name": "REBECA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "909-528-5119",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.