NPIMap

Organization Active NPI

Loma Linda University Physicians Medical Group Inc

  • Internal Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1841230109
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC
Practice address
11370 Anderson St
Ste 3150
Loma Linda, CA 92354
Phone
(909) 558-2191
Fax
(909) 558-3905
NPI assigned
Jun 7, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
LOMA LINDA UNIVIVERSITY PHYSICIANS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
James Couperus, MDNPI 1801813977
Title
President Llu Physicians Med Group
Phone
(909) 558-2191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

11370 Anderson St
Ste 3150
Loma Linda, CA 92354

Mailing address

File Number 56994
Los Angeles, CA 90074-6994
Phone (909) 558-3111

Other identifiers 1

IdentifierTypeStateIssuer
GR0040440MedicaidCA

National Provider Directory

National Provider Directory
Part of
Loma Linda University P

Locations

11370 Anderson St
Ste 3150
Loma Linda, CA 92354
Phone (909) 558-2191

11370 Anderson St
Ste 31503625
Loma Linda, CA 92354
Phone (909) 558-2191

11370 Anderson St
Ste 3300
Loma Linda, CA 92354
Phone (909) 478-6191

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1841230109",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST",
            "address_2": "STE 3150",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-2191",
            "fax_number": "909-558-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOMA LINDA UNIVIVERSITY PHYSICIANS MEDICAL GROUP",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "COUPERUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT LLU PHYSICIANS MED GROUP",
        "authorized_official_telephone_number": "909-558-2191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040440",
            "state": "CA"
        }
    ],
    "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 Dec 14, 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.