Organization Active NPI

Lluh Education Consortium

  • Student in an Organized Health Care Education/Training Program
  • Loma Linda, CA
National Provider Identifier
1558026708
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
LLUH EDUCATION CONSORTIUM
Practice address
24785 Stewart St Evans Hall Suite 204
Loma Linda, CA 92350-0001
Phone
(909) 558-4000
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Dr. Waseem Khader, DO
Title
Fellow
Phone
(909) 558-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

24785 Stewart St Evans Hall Suite 204
Loma Linda, CA 92350-0001

Mailing address

24785 Stewart St Evans Hall Suite 204
Loma Linda, CA 92350-0001

National Provider Directory

National Provider Directory

Locations

24785 Stewart St
Ste 204
Loma Linda, CA 92350
Phone (909) 558-7622

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1558026708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24785 STEWART ST EVANS HALL SUITE 204",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24785 STEWART ST EVANS HALL SUITE 204",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001",
            "telephone_number": "909-558-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLUH EDUCATION CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "KHADER",
        "authorized_official_first_name": "WASEEM",
        "authorized_official_title_or_position": "FELLOW",
        "authorized_official_telephone_number": "909-558-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "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 Nov 3, 2021; 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.