NPIMap

Organization Active NPI

Loma Linda University Children's Hospital

  • Children's Hospital
  • Loma Linda, CA
National Provider Identifier
1841697414
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
Legal business name
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL
Practice address
11234 Anderson St RM 1147
Loma Linda, CA 92354-2804
Phone
(909) 558-5075
Fax
(909) 558-8773
NPI assigned
Nov 26, 2014
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Anthony Alan Hilliard
Title
Ceo
Phone
(909) 558-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X Primary

Addresses

Primary practice location

11234 Anderson St RM 1147
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson St RM 1150
Loma Linda, CA 92354-2804
Phone (909) 558-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150106001921 CA Part A Provider - End-Stage Renal Disease Facility (ESRD) 5395968747 Practice locations: Loma Linda, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda University Children's Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11234 Anderson St
#A
Loma Linda, CA 92350
Phone (909) 558-8000

11234 Anderson St
Ste A
Loma Linda, CA 92350
Phone (909) 558-8000

11370 Anderson St
#B800
Loma Linda, CA 92354
Phone (909) 558-4786

11370 Anderson St
Ste B800
Loma Linda, CA 92354
Phone (909) 558-2848

2195 Club Center Dr
Ste G
Sn Bernrdno, CA 92408
Phone (909) 558-2617

250 E Caroline St
Ste E
Sn Bernrdno, CA 92408
Phone (909) 651-1910

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1841697414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST RM 1150",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST RM 1147",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-5075",
            "fax_number": "909-558-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-558-5188"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "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 Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.