NPIMap

Organization Active NPI

Loma Linda University Children's Hospital

  • Children's Hospital
  • Loma Linda, CA
National Provider Identifier
1366866345
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL
Practice address
11234 Anderson St Ste a
Loma Linda, CA 92350-1716
Phone
(909) 558-5075
Fax
(909) 558-8773
NPI assigned
Feb 11, 2014
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Anthony Alan Hilliard
Title
Ceo
Phone
(909) 558-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X NU Primary

Addresses

Primary practice location

11234 Anderson St Ste a
Loma Linda, CA 92350-1716

Mailing address

11234 Anderson St RM 1150
Loma Linda, CA 92350-1716
Phone (909) 558-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140603001956 CA Part A Provider - Hospital 5395968747 Practice locations: Loma Linda, CA; San Bernardino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366866345. Details of each certification follow.

Hospital certification: CCN 050778

Legal name
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 21, 2014
Last certification
Jul 27, 2021
Beds
343
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 6, 2013 in CA
Enrollment address
11234 Anderson St a
Loma Linda, CA 92354-2804
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Loma Linda University Children's HospitalCCN 050778 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda University Children's Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 39

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wayne B Harris Individual Corporate DirectorBoard Member Apr 1, 2016
Gary Thurber Individual Corporate DirectorBoard Member Apr 13, 2023
Jennifer Y Sacro Individual Corporate DirectorBoard Member Apr 13, 2023
Edward a Reece Individual Corporate DirectorBoard Member Aug 29, 2022
Zeno Charles Marcel Individual Corporate DirectorBoard Member Nov 1, 2024
Paul Douglas Individual Corporate DirectorBoard Member Apr 13, 2022
Thomas L Lemon Individual Corporate DirectorBoard Member May 1, 2015
Wilfredo Colon Individual Corporate DirectorBoard Member Apr 1, 2016
Lisa M Beardsley-Hardy Individual Corporate DirectorBoard Member May 1, 2015
Ted N Wilson Individual Corporate DirectorBoard Member Jul 1, 2014
Richard Henry Hart Individual Corporate OfficerPresident Jul 1, 2014
Eunmee Shim Individual Corporate DirectorBoard Member Apr 1, 2016
Jose S Loredo Individual Corporate DirectorBoard Member Apr 13, 2023
Herbert C Ruckle Individual Corporate DirectorBoard Member May 1, 2015
Robert D Martin Individual Corporate DirectorBoard Member May 1, 2015
Paul C Herrmann Individual Corporate DirectorBoard Member Aug 31, 2022
Rodney C Wehtje Individual Corporate DirectorBoard Member Apr 13, 2023
Angela M Lalas Individual Corporate OfficerSVP/Cfo May 21, 2018
Tamara L Thomas Individual Corporate DirectorBoard Member Apr 13, 2022
Shirley F Chang Individual Corporate DirectorBoard Member May 1, 2015
Zareh Sarrafian Individual Corporate DirectorBoard Member Apr 13, 2022
Ricardo L Peverini Individual Corporate DirectorBoard Member Jul 1, 2014
Steven J Filler Individual Corporate DirectorBoard Member May 1, 2015
Daniel Dawes Individual Corporate DirectorBoard Member Apr 13, 2023
April E Wilson Individual Corporate DirectorBoard Member Aug 31, 2022
Randall M Schell Individual Corporate DirectorBoard Member Apr 13, 2023
Barbara McKinney Individual Corporate DirectorBoard Member Apr 13, 2023
Francis D Chan Individual Corporate DirectorBoard Member Aug 29, 2022
Lyndon C Edwards Individual Corporate OfficerChief Operating Officer Dec 15, 2021
Sandra Roberts Individual Corporate DirectorBoard Member Apr 13, 2023
Glenward Alexander Bryant Individual Corporate DirectorBoard Member Apr 13, 2022
Brian S Reiner Individual Corporate DirectorBoard Member Jul 1, 2014
Robert E Lemon Individual Corporate DirectorBoard Member Jul 1, 2014
Sheryl D Moorhead Individual Corporate Director Dec 10, 2024
Erton Carlos Kohler Individual Corporate DirectorBoard Member Apr 13, 2022
Ella Simmons Individual Corporate DirectorBoard Member Apr 13, 2023
Anthony Alan Hilliard Individual Corporate OfficerChief Executive Officer Oct 2, 2024
W-2 Managing EmployeeChief Executive Officer Oct 2, 2024
Loma Linda University Health Organization, Loma Linda, CA 5% Or Greater Direct Ownership Interest Jul 1, 2014 100%
Richard Osborn Individual Corporate DirectorBoard Member Aug 29, 2022

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 810

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.

View all 810

Affiliated clinicians 23

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1366866345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST RM 1150",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501716",
            "telephone_number": "909-558-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST STE A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501716",
            "telephone_number": "909-558-5075",
            "fax_number": "909-558-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-558-5188"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.