Mardon Romulo Abesamis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95039015 Issued in CA

Practice address

25534 Huron St
Loma Linda, CA 92354-3721

Phone

(909) 809-1621

NPI assigned

Mar 10, 2026

Last updated

Mar 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1982551925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25534 HURON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25534 HURON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543721",
            "telephone_number": "909-809-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABESAMIS",
        "first_name": "MARDON",
        "middle_name": "ROMULO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95262145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Abdi Pour, MD
• Unknown Abdul Hameed Zaid, M.B,B.S
• Yara M Abdulla, DDS
• Mostafa Walid Abdulrahim, MD
• Faiz Abdur-Rahman, MD
• Ability Pathways Inc (Lilac Division)
• Carine Abinader
• Ray Roger Abinader, M.D.
• Antonio Abiog, M.D.
• Marc Abou Assali

• Family Nurse Practitioner in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.