NPIMap

Organization Active NPI

Loma Linda University Medical Center

  • Psychiatric Hospital
  • Redlands, CA
National Provider Identifier
1457000200
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LOMA LINDA UNIVERSITY MEDICAL CENTER
Doing business as
Loma Linda University Medical Center
Practice address
1790 W Park Ave Ste 200
Redlands, CA 92373-3116
Phone
(909) 558-5075
Fax
(909) 558-5075
NPI assigned
Mar 21, 2022
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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) 558-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1790 W Park Ave Ste 200
Redlands, CA 92373-3116

Mailing address

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

Other names 2

  • Loma Linda University Medical Center Doing business as
  • Loma Linda University Behavioral Medicine Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620001229 CA Part A Provider - Hospital 8325099138 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redlands, CA; Murrieta, CA; Loma Linda, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457000200. Details of each certification follow.

Hospital certification: CCN 05S327

Legal name
LOMA LINDA UNIVERSITY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1980 in CA
Enrollment address
1710 Barton Rd
Redlands, CA 92373-5304
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda University M36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

81 Highland Springs Ave
Ste 205
Beaumont, CA 92223
Phone (951) 849-3030

11910 Hesperia Rd
Ste 1
Hesperia, CA 92345
Phone (760) 949-1008

11234 Anderson St
Rm 2812
Loma Linda, CA 92350

11265 Mountain View Ave
Ste H-14
Loma Linda, CA 92354
Phone (909) 558-3096

11370 Anderson St
Ste 1900
Loma Linda, CA 92354
Phone (909) 558-2382

25835 Barton Rd
#E101
Loma Linda, CA 92354
Phone (909) 558-3611

25875 Barton Rd
Ste B108
Loma Linda, CA 92354
Phone (909) 558-3766

28078 Baxter Rd
Ste 230
Murrieta, CA 92563
Phone (718) 551-1378

28078 Baxter Rd
Ste 240
Murrieta, CA 92563
Phone (951) 290-6530

1790 W Park Ave
Ste 200
Redlands, CA 92373
Phone (909) 334-2608

27909 Sherman Rd
Sun City, CA 92585

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 Dec 7, 2021
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 Dec 7, 2021
Thomas L Lemon Individual Corporate DirectorBoard Member Apr 12, 2016
Wilfredo Colon Individual Corporate DirectorBoard Member Apr 1, 2016
Lisa M Beardsley-Hardy Individual Corporate DirectorBoard Member Apr 12, 2016
Ted N Wilson Individual Corporate DirectorBoard Member Apr 12, 2016
Richard Henry Hart Individual Corporate DirectorPresident Sep 15, 2005
Eunmee Shim Individual Corporate DirectorBoard Member Dec 7, 2021
Jose S Loredo Individual Corporate DirectorBoard Member Apr 13, 2023
Herbert C Ruckle Individual Corporate DirectorBoard Member Apr 12, 2016
Robert D Martin Individual Corporate DirectorBoard Member Apr 12, 2016
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 OfficerChief Financial Officer Apr 14, 2016
Tamara L Thomas Individual Corporate DirectorBoard Member Dec 7, 2021
Shirley F Chang Individual Corporate DirectorBoard Member Apr 12, 2016
Zareh Sarrafian Individual Corporate DirectorBoard Member Dec 7, 2021
Ricardo L Peverini Individual Corporate DirectorBoard Member Apr 12, 2016
Steven J Filler Individual Corporate DirectorBoard Member Apr 12, 2016
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 31, 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 Dec 7, 2021
Brian S Reiner Individual Corporate DirectorBoard Member Apr 12, 2016
Robert E Lemon Individual Corporate DirectorBoard Member Sep 15, 2005
Sheryl D Moorhead Individual Corporate DirectorBoard Member Apr 1, 2016
Erton Carlos Kohler Individual Corporate DirectorBoard Member Apr 14, 2021
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 Non-profit 5% Or Greater Direct Ownership Interest Feb 27, 2008
Operational/Managerial Control Feb 27, 2008
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.

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1457000200",
    "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": "1790 W PARK AVE STE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733116",
            "telephone_number": "909-558-5075",
            "fax_number": "909-558-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "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": "909-558-4000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loma Linda University Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loma Linda University Behavioral Medicine Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.