Loma Linda Obstetrics & Gynecology

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A91409 Issued in CA

Legal business name

LOMA LINDA OBSTETRICS & GYNECOLOGY

Practice address

25805 Barton Rd Ste 107
Loma Linda, CA 92354-3890

Phone

(909) 478-7700

Fax

(909) 478-7705

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Danielle C.a Sawyer Macknet, M.DNPI 1073704250

Title

Ceo

Phone

(909) 478-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21074/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Danielle C.a. Sawyer-Macknet, M.D.

  • Obstetrics & Gynecology Physician
  • Loma Linda, CA
  • NPI 1073704250
  Authorized official Same address or phone

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1619394228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25805 BARTON RD STE 107",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543890",
            "telephone_number": "909-478-7700",
            "fax_number": "909-478-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25805 BARTON RD STE 107",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543890",
            "telephone_number": "909-478-7700",
            "fax_number": "909-478-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "SAWYER MACKNET",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "C.A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-478-7700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A91409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EW529A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Caitlin Lokos, MD
• Loma Linda Children's Dental Group (Chris Wacker, LLCDG Inc.)
• Loma Linda Health Pharmacy
• Loma Linda High Field Open MRI and Diagnostic Center Inc
• Loma Linda Inland Consortium for Healthcare Education
• Loma Linda Optometry, Inc.
• Loma Linda Pharmacy Inc (Loma Linda Pharmacy)
• Loma Linda Recovery, LLC
• Loma Linda SNF Healthcare, LLC (Loma Linda Post Acute)
• Loma Linda Surgery Center, LLC

• Preferred Provider Organization in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.