Active NPI
Andrei Radulescu, M.D.,PH.D.
- Pediatric Surgery Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 157673
- Practice address
- 11175 Campus St Ste 21111
Loma Linda, CA 92350 - Phone
- (614) 432-3145
- NPI assigned
- May 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 157673 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Surgery Physician | 2086S0120X | 157673 | CA | Primary |
Addresses
Primary practice location
11175 Campus St Ste 21111
Loma Linda, CA 92350
Mailing address
11175 Campus St Ste 21111
Loma Linda, CA 92350-3471
Phone (614) 432-3145
Other practice location 1
395 W 12th Ave Rm 654
Columbus, OH 43210-1267
Phone (614) 293-8704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157673 | CA | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Surgery | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients |
Locations
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Interoperability endpoints
- aradulescu181657@direct.llu.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Pediatric Urology Physician
- Loma Linda, CA
- NPI 1295900439
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1144547977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST STE 21111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923503471",
"telephone_number": "614-432-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST STE 21111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "614-432-3145"
}
],
"practiceLocations": [
{
"address_1": "395 W 12th Ave Rm 654",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101267",
"country_code": "US",
"telephone_number": "614-293-8704",
"fax_number": "614-293-4063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADULESCU",
"first_name": "ANDREI",
"name_prefix": "Dr.",
"credential": "M.D.,PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-04",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "157673",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "CA",
"license": "157673",
"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 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.