Loma Linda Univ Family Medical Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LOMA LINDA UNIV FAMILY MEDICAL GROUP INC.

Practice address

25455 Barton Road
Ste 204B
Loma Linda, CA 92354

Phone

(909) 558-6600

NPI assigned

May 26, 2006

Last updated

Oct 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Testerman, MDNPI 1629003868

Title

President Llu Family Medical Group

Phone

(909) 558-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• John Testerman, M.D.

  • Family Medicine Physician
  • Loma Linda, CA
  • NPI 1629003868
  NPD (past) Authorized official
• Michael L Grover, D.O.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1366425936
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1922054493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE NUMBER 54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON ROAD",
            "address_2": "STE 204B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIV FAMILY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "TESTERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT LLU FAMILY MEDICAL GROUP",
        "authorized_official_telephone_number": "909-558-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0000450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loma Linda Recovery, LLC
• Loma Linda SNF Healthcare, LLC (Loma Linda Post Acute)
• Loma Linda Surgery Center, LLC
• Loma Linda Surgical Institute, LLC
• Loma Linda Univ Anesthesiology Medical Group Inc
• Loma Linda Univ Urology Medical Group Inc
• Loma Linda Univeristy
• Loma Linda University
• Loma Linda University
• Loma Linda University

• Family Medicine Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.