Active NPI
Llumc Transplant Institute
- General Acute Care Hospital
- Loma Linda, CA
National Provider Identifier
1154750982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 51272
- Legal business name
- LLUMC TRANSPLANT INSTITUTE
- Practice address
- 25865 Barton Rd Ste 101
Loma Linda, CA 92354-3896 - Phone
- (909) 558-3636
- NPI assigned
- Nov 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Reynolds, RN MBA
- Title
- Service Line Director
- Phone
- (909) 558-3636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 51272 | CA | Primary |
Addresses
Primary practice location
25865 Barton Rd Ste 101
Loma Linda, CA 92354-3896
Mailing address
24975 Prospect Ave
Loma Linda, CA 92354-2842
National Provider Directory
National Provider Directory- Tax ID family
- Faculty Medical Group of Llusm
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Transplant Surgery Physician
- Rancho Mirage, CA
- NPI 1619314168
-
- Diagnostic Radiology Physician
- Beaumont, CA
- NPI 1952626137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383350400000",
"number": "1154750982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24975 PROSPECT AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25865 BARTON RD STE 101",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543896",
"telephone_number": "909-558-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LLUMC TRANSPLANT INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "SERVICE LINE DIRECTOR",
"authorized_official_telephone_number": "909-558-3636",
"authorized_official_credential": "RN MBA"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "51272",
"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 Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.