Loma Linda University Radiation Medicine

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

LOMA LINDA UNIVERSITY RADIATION MEDICINE

Practice address

27990 Sherman Drive
Sun City, CA 92381

Phone

(951) 672-1931

Fax

(909) 558-3905

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Jerry Slater

Title

President Llu Radiation Medicine

Phone

(909) 558-3014

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497701312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30969",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900300969",
            "telephone_number": "909-558-3014",
            "fax_number": "909-558-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27990 SHERMAN DRIVE",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "92381",
            "telephone_number": "951-672-1931",
            "fax_number": "909-558-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY RADIATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT LLU RADIATION MEDICINE",
        "authorized_official_telephone_number": "909-558-3014"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Lewis
• Life Care Centers of America, Inc. (Life Care Center of Menifee)
• Linda Evans MD, Inc
• Eleni Litras, PA-C
• Loma Linda Univ Physicians Medical Group Inc
• Clifton Michael Long
• Jacqueline Lopez
• Deane Manning
• Nataline Catherine Manning
• Benny Manrique Jr.

• Radiation Oncology Physician in Sun City, CA
• Providers in Sun City, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.