Loma Linda Psychiatric Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

56486 Issued in CA

Legal business name

LOMA LINDA PSYCHIATRIC MEDICAL GROUP

Practice address

1200 California St Ste 140
Redlands, CA 92374-2946

Phone

(909) 880-4200

NPI assigned

Aug 4, 2016

Organization subpart

No

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

Authorized official

Name

Liberty Macias, NPNPI 1376936476

Title

Partner

Phone

(909) 792-6886

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liberty Macias, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Redlands, CA
  • NPI 1376936476
  NPD Authorized official

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1750835013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541303",
            "telephone_number": "909-880-4200",
            "fax_number": "888-505-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALIFORNIA ST STE 140",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742946",
            "telephone_number": "909-880-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 E Cooley Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923243901",
            "country_code": "US",
            "telephone_number": "909-370-4700",
            "fax_number": "888-505-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81880 Doctor Carreon Blvd Ste C202",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015587",
            "country_code": "US",
            "telephone_number": "760-922-7322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18522 US Highway 18 Ste 206",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923072321",
            "country_code": "US",
            "telephone_number": "760-946-4664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Blythe",
            "state": "CA",
            "postal_code": "922252501",
            "country_code": "US",
            "telephone_number": "760-922-7322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOMA LINDA PSYCHIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "909-792-6886",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "56486",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIN",
            "identifier": "127629",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Elizabeth Loewen
• Everett Bernell Lohman III, P.T.
• Trevor Lohman, DPT
• Jeanette Marie Basirico Lohr, LEP
• Loma Linda Oncology Medical Group
• Loma Linda Univeristy Radiology Medical Group, Inc.
• Loma Linda University
• Loma Linda University
• Loma Linda University Medical Center
• Loma Linda University Medical Center

• Multi-Specialty Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.