Charles Bernard Stuller, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

51765 Issued in CA

Practice address

VA Loma Linda Healthcare System 160 11201 Benton St
Loma Linda, CA 92357-0001

Phone

(909) 583-6127

Fax

(909) 777-3293

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346263092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 LOS PADRES DR",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920289143",
            "telephone_number": "760-731-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA LOMA LINDA HEALTHCARE SYSTEM 160 11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923570001",
            "telephone_number": "909-583-6127",
            "fax_number": "909-777-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULLER",
        "first_name": "CHARLES",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "51765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Stroup
• Scott Strum, M.D.
• Richel Yolandi Strydom, M.D.
• Avery Stuart
• Karen Rachel Studer, M.D.
• Robert Patrick Stump
• Kathleen N Stutz, DO
• Reece Alan Stutzman
• Diana Beatrice Su-Erickson, OTR/L
• Prajan Subedi

• Oral and Maxillofacial Pathology Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Oral and Maxillofacial Pathology Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.