Individual provider Active NPI

Nadine Latoya Williams, MD

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
National Provider Identifier
1992971840
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A145293 Issued in CA
Practice address
25455 Barton Rd
Suite 102B
Loma Linda, CA 92354-3128
Phone
(909) 558-2808
Fax
(909) 558-4772
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A145293 CA Primary
Orthopaedic Surgery Physician 207X00000X 262598 NY

Addresses

Primary practice location

25455 Barton Rd
Suite 102B
Loma Linda, CA 92354-3128

Mailing address

25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161223000201 CA Practitioner - Orthopedic Surgery 7618258021 Reassigns benefits to 1 organization
I20250415000189 FL Practitioner - Orthopedic Surgery 7618258021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A145293CAMDOrthopaedic Surgery Physician
262598NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Surgical Practice Resource Group of Florida Inc CurrentSince Apr 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 1, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 1, 2016 Accepting new patients

Locations

11370 Anderson St
Ste 1500
Loma Linda, CA 92354
Phone (909) 558-2802

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 102B
Loma Linda, CA 92354
Phone (909) 558-2808

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1686 Barton Rd
Redlands, CA 92373
Phone (909) 558-9200

201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875

539 Rolling Acres Rd
Lady Lake, FL 32159
Phone (352) 456-0220

539 Rolling Acres Rd
Ste A
Lady Lake, FL 32159

Interoperability endpoints

  • Direct secure messaging: nwilliams121367@direct.llu.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992971840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-558-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "address_2": "SUITE 102B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-558-2808",
            "fax_number": "909-558-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NADINE",
        "middle_name": "LATOYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A145293",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "262598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.