LOMA LINDA UNIVERSITY RADIATION MEDICINE
NPI 1134175052
Radiology - Radiation Oncology in Ridgecrest, CA

NPI Status: Active since May 25, 2006

Contact Information

1517 NORTH DOWNS ST
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-7714
Fax: (909) 558-3905

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  • Organization
  • Radiology
  • Radiation Oncology

About LOMA LINDA UNIVERSITY RADIATION MEDICINE

This page provides the complete NPI Profile along with additional information for Loma Linda University Radiation Medicine, a provider established in Ridgecrest, California operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1134175052 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jerry Slater Md (President)

NPI
1134175052
Provider Name
LOMA LINDA UNIVERSITY RADIATION MEDICINE
Entity Type
Organization
Location Address
1517 NORTH DOWNS ST RIDGECREST, CA 93555
Location Phone
(760) 446-7714
Location Fax
(909) 558-3905
Mailing Address
PO BOX 30969 LOS ANGELES, CA 90030
Mailing Phone
(909) 558-3014
Mailing Fax
(909) 558-3905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERRY SLATER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 558-3014

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GR0063624MEDICAID (05)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134175052
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21642710010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 1 + 0 + 0 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1134175052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134175052, enumerated in the NPI registry as an "organization" on May 25, 2006

The provider is located at 1517 North Downs St Ridgecrest, Ca 93555 and the phone number is (760) 446-7714

This medical organization specializes in Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.