Individual provider Active NPI

Donald Steven Combs, PA,PHD

  • Medical Physician Assistant
  • Loma Linda, CA
National Provider Identifier
1376657650
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20245 Issued in CA
Practice address
24644 Shepardson Dr
Loma Linda, CA 92354-2716
Phone
(661) 433-6321
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA20245 CA Primary

Addresses

Primary practice location

24644 Shepardson Dr
Loma Linda, CA 92354-2716

Mailing address

24644 Shepardson Dr
Loma Linda, CA 92354-2716
Phone (661) 433-6321

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000914 CA Practitioner - Physician Assistant 8527042365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA20245CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Big Bear Urgent Care Inc Current Accepting new patients
Bear Mountain Medicine Inc CurrentSince Dec 1, 2006 Accepting new patients
Bear Lake Professionals Inc CurrentSince Oct 21, 2015 Accepting new patients

Organizations & group practices 3

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1376657650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24644 SHEPARDSON DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542716",
            "telephone_number": "661-433-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24644 SHEPARDSON DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542716",
            "telephone_number": "661-433-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "DONALD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PA,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.