Active NPI
Linh Ai Tieu, D.O.
- Pediatrics Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A11505
- Practice address
- 11175 Campus St
CP-A1121
Loma Linda, CA 92350-1700 - Phone
- (909) 558-8142
- NPI assigned
- Apr 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A11505 | CA | Primary |
Addresses
Primary practice location
11175 Campus St
CP-A1121
Loma Linda, CA 92350-1700
Mailing address
54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 558-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11505 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Beaver Medical Group P C | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Loma Linda University Children's Hospital | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Beaver Medical Group P C | Pediatrics | Past | Accepting new patients |
Locations
6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
7223 Church St
Ste C1
Highland, CA 92346
Phone (909) 425-3946
82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
26780 Barton Rd
Redlands, CA 92373
Phone (909) 558-5174
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ltieu11693@direct.llu.edu
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba SAC Arrowhead
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
-
- Pediatrics Physician
- Highland, CA
- NPI 1689624991
-
- Pediatric Cardiology Physician
- Beaumont, CA
- NPI 1871766121
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1831624493
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
dba Beaver Advantage Health Center
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
Pediatrics
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1821231101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54701 FILE NUMBER",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900744701",
"telephone_number": "909-558-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS ST",
"address_2": "CP-A1121",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501700",
"telephone_number": "909-558-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEU",
"first_name": "LINH",
"middle_name": "AI",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-15",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A11505",
"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 Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.