Loma Linda Univ Physicians Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LOMA LINDA UNIV PHYSICIANS MEDICAL GROUP INC

Practice address

27990 Sherman Road
Sun City, CA 92585

Phone

(951) 679-7412

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

James Couperus, MD

Title

President Llu Physicians Medical GR

Phone

(909) 558-2191

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": "1191283200000",
    "number": "1669428595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE NUMBER 56994",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900746994",
            "telephone_number": "909-558-3111",
            "fax_number": "909-558-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27990 SHERMAN ROAD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "92585",
            "telephone_number": "951-679-7412",
            "fax_number": "909-558-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIV PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "COUPERUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT LLU PHYSICIANS MEDICAL GR",
        "authorized_official_telephone_number": "909-558-2191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystle P Lejano
• Donald Lewis
• Life Care Centers of America, Inc. (Life Care Center of Menifee)
• Linda Evans MD, Inc
• Eleni Litras, PA-C
• Loma Linda University Radiation Medicine
• Clifton Michael Long
• Jacqueline Lopez
• Deane Manning
• Nataline Catherine Manning

• Internal Medicine Physician in Sun City, CA
• Providers in Sun City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.