Organization Active NPI

VA Loma Linda Health Care System (112G)

  • Military Hospital
  • Loma Linda, CA
National Provider Identifier
1801909478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
29330 Issued in KY
Legal business name
VA LOMA LINDA HEALTH CARE SYSTEM (112G)
Practice address
25915 Brookmere Ave
Loma Linda, CA 92354-3966
Phone
(909) 796-9792
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matilal Chhotabhai Patel I, MD
Title
Attending Orthrpedics
Phone
(909) 825-7084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 29330 KY Primary

Addresses

Primary practice location

25915 Brookmere Ave
Loma Linda, CA 92354-3966

Mailing address

25915 Brookmere Ave.,
Loma Linda, CA 92354
Phone (909) 796-9792

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801909478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25915 BROOKMERE AVE.,",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-796-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25915 BROOKMERE AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543966",
            "telephone_number": "909-796-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LOMA LINDA HEALTH CARE SYSTEM (112G)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MATILAL",
        "authorized_official_middle_name": "CHHOTABHAI",
        "authorized_official_title_or_position": "ATTENDING ORTHRPEDICS",
        "authorized_official_telephone_number": "909-825-7084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "KY",
            "license": "29330",
            "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 Aug 22, 2020; 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.