NPIMap

Organization Active NPI

VA Loma Linda Med Ctr

  • General Acute Care Hospital
  • Loma Linda, CA
National Provider Identifier
1912339755
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
354300 Issued in CA
Legal business name
VA LOMA LINDA MED CTR
Practice address
11201 Benton St
Loma Linda, CA 92357-1000
Phone
(909) 825-7084
NPI assigned
Aug 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

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

Authorized official

Name
Mr. Barbara Fallen, RD,MPA,FACHE
Title
Director
Phone
(909) 583-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 354300 CA Primary

Addresses

Primary practice location

11201 Benton St
Loma Linda, CA 92357-1000

Mailing address

11201 Benton St
Loma Linda, CA 92357-1000
Phone (909) 825-7084

National Provider Directory

National Provider Directory
Tax ID family
VA Loma Linda Healthcare System2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375488000000",
    "number": "1912339755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923571000",
            "telephone_number": "909-825-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA LOMA LINDA MED CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A",
        "authorized_official_last_name": "FALLEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-583-6002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RD,MPA,FACHE"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "354300",
            "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 3, 2013; 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.