Organization Active NPI

Schubert Palmer, M.D., Inc.

Doing business as Loma Linda Cardiology Medical Group

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1336237080
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SCHUBERT PALMER, M.D., INC.
Doing business as
Loma Linda Cardiology Medical Group
Practice address
1701 E Cesar E Chavez Ave
Suite 403
Los Angeles, CA 90033-2464
Phone
(323) 224-2040
Fax
(323) 224-2061
NPI assigned
Oct 10, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Hiram Schubert Palmer, M.D.NPI 1134228828
Title
Medical Director
Phone
(323) 224-2040

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
Specialist 174400000X Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave
Suite 403
Los Angeles, CA 90033-2464

Mailing address

PO Box 331100
Los Angeles, CA 90033-0002
Phone (323) 224-2040

Other identifiers 4

IdentifierTypeStateIssuer
FNP 24978OtherCAMED. BOARD FICTITIOUS NAM
GR0100070MedicaidCA
CN2872OtherCARAILROAD MEDICARE
ZZZ66380ZOtherCABLUE CROSS/BLUE SHIELD

Other names 1

  • Loma Linda Cardiology Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050510001249 CA Part B Supplier - Clinic/Group Practice 6507806320 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda Cardiology Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1701 E Cesar E Chavez Ave
Ste 403
Los Angeles, CA 90033
Phone (323) 222-0137

1720 E Cesar E Chavez Ave
Ste 403
Los Angeles, CA 90033
Phone (323) 224-2040

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1336237080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900330002",
            "telephone_number": "323-224-2040",
            "fax_number": "323-224-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-224-2040",
            "fax_number": "323-224-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUBERT PALMER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_middle_name": "SCHUBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-224-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. BOARD FICTITIOUS NAM",
            "identifier": "FNP 24978",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN2872",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "ZZZ66380Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Linda Cardiology Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.