Mustafa Adnan Cobanoglu, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35-087458 Issued in OH

Practice address

Loma Linda University
11175 Campus Street Suite 21123
Loma Linda, CA 92354-2741

Phone

(909) 558-4354

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1487688339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOMA LINDA UNIVERSITY",
            "address_2": "11175 CAMPUS STREET SUITE 21123",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542741",
            "telephone_number": "909-558-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOMA LINDA UNIVERSITY",
            "address_2": "11175 CAMPUS STREET SUITE 21123",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542741",
            "telephone_number": "909-558-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBANOGLU",
        "first_name": "MUSTAFA",
        "middle_name": "ADNAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35-087458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503670",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2638793",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "741756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7818813",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Clendenning-Woods, LVN
• Andrea Cline, LCSW
• Kathryn Cloete, MD
• Lucia G Cloud
• Cori Clumpner, DO
• Camilla J Cobb, M.D.
• Misty R Cobb, RRT
• Ekua Nkrumah Cobbina, M.D.
• Carrie Allison Cobos
• Kevin Anthony Codorniz, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.