Mardon Romulo Abesamis
Individual provider Active NPI Family Nurse Practitioner · Loma Linda, CA
NPI 1982551925 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1982551925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95039015 (CA)
- Practice address
- 25534 Huron St
Loma Linda, CA 92354-3721 - Phone
- (909) 809-1621
- NPI assigned
- Mar 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95262145 | CA | MD | Registered Nurse |
| 95039015 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95262145 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95039015 | CA | Yes |
Addresses
Primary practice location
25534 Huron St
Loma Linda, CA 92354-3721
Mailing address
25534 Huron St
Loma Linda, CA 92354-3721
Other providers in Loma Linda, CA
- Amir Abdi Pour
- Unknown Abdul Hameed Zaid
- Yara M Abdulla
- Mostafa Walid Abdulrahim
- Faiz Abdur-Rahman
- Ability Pathways Inc
- Carine Abinader
- Ray Roger Abinader
- Antonio Abiog
- Marc Abou Assali
All providers in Loma Linda, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.