Active NPI
Lluh Education Consortium
- Student in an Organized Health Care Education/Training Program
- Loma Linda, CA
National Provider Identifier
1558026708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 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 DirectoryLocations
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.