Loma Linda University Radiation Medicine

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

LOMA LINDA UNIVERSITY RADIATION MEDICINE

Practice address

5974 Pentz Road
Paradise, CA 95969

Phone

(530) 877-9361

Fax

(909) 558-3905

NPI assigned

May 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Slater, MDNPI 1245258458

Title

President Llu Radiation Medicine

Phone

(909) 558-3014

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Slater, M.D.

  • Radiation Oncology Physician
  • Loma Linda, CA
  • NPI 1245258458
  Authorized official Same address or phone

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326094244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30969",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900300969",
            "telephone_number": "909-558-3014",
            "fax_number": "909-558-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 PENTZ ROAD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "95969",
            "telephone_number": "530-877-9361",
            "fax_number": "909-558-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY RADIATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT LLU RADIATION MEDICINE",
        "authorized_official_telephone_number": "909-558-3014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jackson Little, MD
• Sean Lo, PHARM D
• Keri Marie Lockard
• Michael Evan Lockwood, MD
• James Russell Logan, M.D.
• Patricia Lopez
• Natalie Lovinfosse, LCSW
• Kenny Duane Lunsford, CADCII,ICADC
• David Ly
• Brent Calvin Mackay, DDS

• Radiation Oncology Physician in Paradise, CA
• Providers in Paradise, CA by specialty
• Radiation Oncology Physician in California

• 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.