NPIMap

Organization Active NPI

VA Loma Linda Health Care System

  • General Acute Care Hospital
  • Loma Linda, CA
National Provider Identifier
1912230939
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
12843 Issued in CA
Legal business name
VA LOMA LINDA HEALTH CARE SYSTEM
Practice address
11201 Benton St
RM#3a-25
Loma Linda, CA 92357-1000
Phone
(909) 825-7084
Fax
(909) 777-3854
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Dr. Vicki Bradley, AUDNPI 1780628826
Title
Chief Audiology & Speech Pathology
Phone
(909) 825-7084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 12843 CA Primary

Addresses

Primary practice location

11201 Benton St
RM#3a-25
Loma Linda, CA 92357-1000

Mailing address

22990 Orangewood CT
Grand Terrace, CA 92313-5549
Phone (909) 825-7084

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda Vamc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

11201 Benton St
Rm 3A25
Loma Linda, CA 92357

Practitioners & affiliated clinicians

Practitioners 1

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": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1912230939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22990 ORANGEWOOD CT",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135549",
            "telephone_number": "909-825-7084",
            "fax_number": "909-777-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "address_2": "RM#3A-25",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084",
            "fax_number": "909-777-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LOMA LINDA HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CHIEF AUDIOLOGY & SPEECH PATHOLOGY",
        "authorized_official_telephone_number": "909-825-7084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "12843",
            "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 Sep 9, 2009; 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.