Loma Linda University Physicians Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC

Practice address

11234 Anderson St
Ste.1405
Loma Linda, CA 92354-2804

Phone

(909) 558-8762

Fax

(909) 558-3905

NPI assigned

May 26, 2006

Last updated

Dec 14, 2007By 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

James Couperus, MDNPI 1801813977

Title

President Llu Physicians Medical GR

Phone

(909) 558-2191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• James Couperus, M.D.

  • Infectious Disease Physician
  • Loma Linda, CA
  • NPI 1801813977
  Authorized official Same address or phone

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1932155165",
    "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",
            "fax_number": "909-558-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "STE.1405",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-8762",
            "fax_number": "909-558-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "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 MEDICAL GR",
        "authorized_official_telephone_number": "909-558-2191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loma Linda University Medical Center
• Loma Linda University Pathology Medical Group, Inc.
• Loma Linda University Pathology Medical Group, Inc.
• Loma Linda University Physicians Medical Group Inc
• Loma Linda University Physicians Medical Group Inc
• Loma Linda University Radiation Medicine
• Loma Linda University Radiology Medical Group Inc
• Loma Linda University Radiology Medical Group Inc
• Loma Linda University Radiology Medical Group Inc
• Loma Linda University Radiology Medical Group Inc

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

• 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.