Individual provider Active NPI

Paul Clifford Herrmann, M.D.

  • Anatomic Pathology Physician
  • Loma Linda, CA
National Provider Identifier
1366655359
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
A95062 Issued in CA
Practice address
11234 Anderson St RM 2516
Loma Linda, CA 92354-2804
Phone
(909) 558-4000
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X A95062 CA
Anatomic Pathology Physician 207ZP0101X A95062 CA Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X A95062 CA

Addresses

Primary practice location

11234 Anderson St RM 2516
Loma Linda, CA 92354-2804

Mailing address

Llumc, House Staff Office Cp21005
11234 Anderson Street
Loma Linda, CA 92354
Phone (909) 558-4094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000222 CA Practitioner - Pathology 4688732902 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Loma Linda University Pathology Medical Group, Inc. Hematology Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Hematology CurrentSince Jan 1, 2014 Accepting new patients
Loma Linda University Pathology Medical Group, Inc. Hematology Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2014 Accepting new patients
Loma Linda University Pathology Medical Group, Inc. Hematology CurrentSince Nov 30, 2009 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

11370 Anderson St
Ste 2960
Loma Linda, CA 92354
Phone (909) 558-5175

11234 Anderson St
Ste 2151
Loma Linda, CA 92350
Phone (909) 558-2304

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

11234 Anderson St
Ofc CP21005
Loma Linda, CA 92350
Phone (310) 990-3918

11370 Anderson St
#2950
Loma Linda, CA 92354

11234 Anderson St
Rm 2516
Loma Linda, CA 92350
Phone (909) 558-4094

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174

268 W Hospitality Ln
Ste 300
San Bernardino, CA 92408
Phone (909) 651-4352

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Loma Linda University Medical CenterLoma Linda, CA, CCN 050327 Hospital Corporate Director Aug 31, 2022
Llumc Inpatient Rehab UnitLoma Linda, CA, CCN 05T327 Hospital Corporate Director Aug 31, 2022
Loma Linda University Medical Center-MurrietaMurrieta, CA, CCN 050770 Hospital Corporate Director Aug 31, 2022
Loma Linda University Children'S HospitalLoma Linda, CA, CCN 050778 Hospital Corporate Director Aug 31, 2022
Loma Linda University Medical CenterRedlands, CA, CCN 05S327 Hospital Corporate Director Aug 31, 2022

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366655359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LLUMC, HOUSE STAFF OFFICE CP21005",
            "address_2": "11234 ANDERSON STREET",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST RM 2516",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "PAUL",
        "middle_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "A95062",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A95062",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "A95062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.