Organization Active NPI

VA Loma Linda Healthcare System

  • General Acute Care Hospital
  • Loma Linda, CA
National Provider Identifier
1215051560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
RN 274462 Issued in CA
Legal business name
VA LOMA LINDA HEALTHCARE SYSTEM
Practice address
11201 Benton St
Loma Linda, CA 92357-1000
Phone
(800) 741-8387
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wina Talbert
Title
Program Support Assistant
Phone
(909) 583-6009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X RN 274462 CA Primary

Addresses

Primary practice location

11201 Benton St
Loma Linda, CA 92357-1000

Mailing address

2230 Lake Park Dr SPC 175
San Jacinto, CA 92583-7575
Phone (951) 852-3138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215051560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LAKE PARK DR SPC 175",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925837575",
            "telephone_number": "951-852-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "800-741-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LOMA LINDA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "WINA",
        "authorized_official_title_or_position": "PROGRAM SUPPORT ASSISTANT",
        "authorized_official_telephone_number": "909-583-6009"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "RN 274462",
            "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 22, 2020; 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.