NPIMap

Organization Active NPI

Loma Linda Vamc

  • VA Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1982644373
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
LOMA LINDA VAMC
Practice address
8160 Day Creek Blvd Ste 120
Rancho Cucamonga, CA 91739-9329
Phone
(702) 341-3152
NPI assigned
Jun 7, 2006
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

8160 Day Creek Blvd Ste 120
Rancho Cucamonga, CA 91739-9329

Mailing address

PO Box 94409
Cleveland, OH 44101-4409
Phone (702) 341-3152

Other names 1

  • Rancho Cucamonga VA Clinic Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2239921Rancho Cucamonga VA Clinic8160 Day Creek Blvd, Rancho Cucamonga, CA 91739Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Loma Linda Vamc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

8160 Day Creek Blvd
Rancho Cucamonga, CA 91739
Phone (909) 557-3991

8160 Day Creek Blvd
Ste 120
Rancho Cucamonga, CA 91739

8599 Haven Ave
Ste 102
Rancho Cucamonga, CA 91730

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1982644373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94409",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014409",
            "telephone_number": "702-341-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 DAY CREEK BLVD STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399329",
            "telephone_number": "702-341-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Cucamonga VA Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rancho Cucamonga VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.