Loma Linda University Radiation Medicine

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

LOMA LINDA UNIVERSITY RADIATION MEDICINE

Practice address

28062 Baxter Road
Murrieta, CA 92563

Phone

(951) 672-1010

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Jerry Slater, MDNPI 1245258458

Title

President

Phone

(909) 558-3012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Slater, M.D.

  • Radiation Oncology Physician
  • Loma Linda, CA
  • NPI 1245258458
  NPD (past) Authorized official

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1104118140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30969",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900300969",
            "telephone_number": "909-558-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28062 BAXTER ROAD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-672-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY RADIATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-558-3012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lok, DO
• Loma Linda Anesthesia Services a Medical Corporation
• Loma Linda University Medical Center
• Loma Linda University Medical Center-Murrieta
• Loma Linda University Pathology Medical Group, Inc.
• Loma Linda Vamc
• Destiny Loney
• Long Life Nutrition Inc
• Long Ngoc Phan, DMD, Inc
• Khalil Long, RRA/RPA, R.T. (R)

• Radiation Oncology Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.