LOMA LINDA UNIVERSITY RADIATION MEDICINE
NPI 1699721514
Radiology - Radiation Oncology in Loma Linda, CA

NPI Status: Active since May 25, 2006

Contact Information

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-3012
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 Loma Linda, California operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1699721514 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
1699721514
Provider Name
LOMA LINDA UNIVERSITY RADIATION MEDICINE
Entity Type
Organization
Location Address
11234 ANDERSON ST LOMA LINDA, CA 92354
Location Phone
(909) 558-3012
Location Fax
(909) 558-3905
Mailing Address
PO BOX 30969 LOS ANGELES, CA 90030
Mailing Phone
(909) 558-3012
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
GR0063620MEDICAID (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.
1699721514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189142252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 1 + 4 + 2 + 2 + 5 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1699721514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891794657 LEIGH ANN BALLOU PA-C
Individual
Physician Assistant (Surgical)11234 ANDERSON ST RM 2562B
LOMA LINDA, CA 92354
(909) 558-6386
1730172693DR. TOMMY YOUNGHO KIM M.D.
Individual
Pediatrics (Pediatric Emergency Medicine)11234 ANDERSON ST A 108
LOMA LINDA, CA 92354
(909) 558-4000
1447231915DR. GARY Y YANG MD
Individual
Radiology (Radiation Oncology)11234 ANDERSON ST SUITE B-121
LOMA LINDA, CA 92354
(909) 558-4244
1225015217MRS. JEANNINE SHARKEY N.P.
Individual
Nurse Practitioner (Pediatrics)11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-4000
1669442778 TERESA SERNA-FONSECA
Individual
Nurse Practitioner (Pediatrics)11234 ANDERSON ST MC 5700H
LOMA LINDA, CA 92354
(909) 558-8393
1316997596LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC.
Organization
Internal Medicine (Cardiovascular Disease)11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-4200
1184679805 JANELLE MARIE WARREN NP
Individual
Nurse Practitioner11234 ANDERSON ST ROOM 6700H
LOMA LINDA, CA 92354
(909) 558-8514
1104872118LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC
Organization
Anesthesiology11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-4475
1932155165LOMA LINDA UNIVERSITY PHYSICIANS MEDICAL GROUP INC
Organization
Internal Medicine11234 ANDERSON ST STE.1405
LOMA LINDA, CA 92354
(909) 558-8762
1184662405FACULTY MEDICAL GROUP OF LLUSM
Organization
Emergency Medicine11234 ANDERSON ST A 108
LOMA LINDA, CA 92354
(909) 558-4344
1467491472 SONIA GURMINDAR DHALIWAL MD
Individual
Radiology (Diagnostic Radiology)11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-3016
1841230190LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
Organization
Radiology (Diagnostic Radiology)11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-3012
1346281946 KELLIE OLSON
Individual
Emergency Medicine11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-4344
1912948720 LILIT MINASYAN M.D.
Individual
Pediatrics11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-4344
1386672632DR. JASON WESLEY GATLING M.D.
Individual
Anesthesiology11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-1000
1447289780DR. TAMMY E YOUNG N.P.
Individual
Nurse Practitioner11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-8514
1477583433 JOANNA YANG NP
Individual
Licensed Practical Nurse11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-4000
1164454252DR. EKUA NKRUMAH COBBINA M.D.
Individual
Pediatrics11234 ANDERSON ST LOMA LINDA UNIVERSITY MEDICAL CENTER
LOMA LINDA, CA 92354
(909) 558-4000
1124050372 PATRICIA RADOVICH CNS
Individual
Clinical Nurse Specialist11234 ANDERSON ST STE.1405
LOMA LINDA, CA 92354
(909) 558-4252
1326071754 HANS SAATY M.D.
Individual
Radiology (Diagnostic Radiology)11234 ANDERSON ST
LOMA LINDA, CA 92354
(909) 558-8311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699721514, enumerated in the NPI registry as an "organization" on May 25, 2006

The provider is located at 11234 Anderson St Loma Linda, Ca 92354 and the phone number is (909) 558-3012

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.