Active NPI
Jim Hajime Eguchi, M.D
- Pediatric Critical Care Medicine Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- A85667
- Practice address
- Llumc, House Staff Office CP 21005, 11234 Anderson St
Loma Linda, CA 92354 - Phone
- (909) 558-8131
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | A85667 | CA | Primary |
Addresses
Primary practice location
Llumc, House Staff Office CP 21005, 11234 Anderson St
Loma Linda, CA 92354
Mailing address
Llumc, House Staff Office CP 21005, 11234 Anderson St
Loma Linda, CA 92354
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Loma Linda University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
250 E Caroline St
Suite J
San Bernardino, CA 92408-3758
Phone (909) 558-6388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A85667 | CA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Pediatrix Medical Group of California, a Professional Corporation | Pediatric Critical Care Medicine | Past | Accepting new patients |
Locations
11234 Anderson St
Ofc Cp
Loma Linda, CA 92350
Phone 9095584000 ext. 88131
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
11401 Heacock St
Ste 330
Moreno Valley, CA 92557
Phone (951) 247-8697
2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750
Organizations & group practices 5
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Anatomic Pathology & Clinical Pathology Physician
- Loma Linda, CA
- NPI 1245605781
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1316041833
Pediatric Critical Care Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417164427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LLUMC, HOUSE STAFF OFFICE CP 21005, 11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LLUMC, HOUSE STAFF OFFICE CP 21005, 11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92354",
"telephone_number": "909-558-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGUCHI",
"first_name": "JIM",
"middle_name": "HAJIME",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A85667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.