Organization Active NPI

Donald Wayne Kluge Jr

  • Prosthetic/Orthotic Supplier
  • Loma Linda, CA
National Provider Identifier
1164600722
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DONALD WAYNE KLUGE JR
Practice address
11306 Mountain View Ave Ste B
Loma Linda, CA 92354-3832
Phone
(909) 478-9081
Fax
(909) 478-9084
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Donald W Kluge Jr.NPI 1003942202
Title
Owner
Phone
(909) 478-9081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

11306 Mountain View Ave Ste B
Loma Linda, CA 92354-3832

Mailing address

11306 Mountain View Ave Ste B
Loma Linda, CA 92354-3832
Phone (909) 478-9081

National Provider Directory

National Provider Directory

Locations

11306 Mountain View Ave
Ste B
Loma Linda, CA 92354
Phone (909) 478-9081

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1164600722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-478-9081",
            "fax_number": "909-478-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543832",
            "telephone_number": "909-478-9081",
            "fax_number": "909-478-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD WAYNE KLUGE JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "KLUGE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-478-9081",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "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 May 24, 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.

Verify at the official NPI Registry.