VA Loma Linda Health Care System

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

VA LOMA LINDA HEALTH CARE SYSTEM

Practice address

11201 Benton St
Loma Linda, CA 92357-1000

Phone

(909) 825-7084

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Deann Altomonte, MA, LPC, NCC

Title

Psychology Technician

Phone

(909) 825-7084

Specialties & licenses 2

Addresses

Tax ID family

The Diabetic Super Store Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Diabetic Super Store Inc

  • Durable Medical Equipment & Medical Supplies
  • Kingston, TN
  • NPI 1265505549
  NPD tax ID

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409529600000",
    "number": "1265673032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        },
        {
            "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": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LOMA LINDA HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2014-09-01",
        "status": "A",
        "authorized_official_last_name": "ALTOMONTE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "PSYCHOLOGY TECHNICIAN",
        "authorized_official_telephone_number": "909-825-7084",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Usmanov, MD
• Ernst Danielle Arriola Uychocde
• Karen Uyemura, N.P.
• Thomas I Uzzi, REGISTERED NURSE
• VA Hospital Loma Linda
• VA Loma Linda Health Care System
• VA Loma Linda Health Care System (112G)
• VA Loma Linda Healthcare System
• VA Loma Linda Healthcare System
• VA Loma Linda Med Ctr

• Substance Use Disorder Rehabilitation Clinic/Center in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2014; 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.