LOMA LINDA PSYCHIATRIC MEDICAL GROUP
NPI 1750835013
Clinic/Center - Multi-Specialty in Redlands, CA

NPI Status: Active since August 04, 2016

Contact Information

1200 CALIFORNIA ST STE 140
REDLANDS, CA
ZIP 92374
Phone: (909) 880-4200

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About LOMA LINDA PSYCHIATRIC MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Loma Linda Psychiatric Medical Group, a provider established in Redlands, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1750835013 assigned on August 2016. The practitioner's primary taxonomy code is 261QM1300X with license number 56486 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Liberty Macias Np (Partner)

NPI
1750835013
Provider Name
LOMA LINDA PSYCHIATRIC MEDICAL GROUP
Entity Type
Organization
Location Address
1200 CALIFORNIA ST STE 140 REDLANDS, CA 92374
Location Phone
(909) 880-4200
Mailing Address
PO BOX 1303 LOMA LINDA, CA 92354
Mailing Phone
(909) 880-4200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2016
Last Update Date
01-10-2025
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Location Map

Secondary Locations

  • 1007 E Cooley Dr Ste 109
    Colton, CA 92324
    (909) 370-4700
  • 153 S Broadway
    Blythe, CA 92225
    (760) 922-7322
  • 81880 Doctor Carreon Blvd Ste C202
    Indio, CA 92201
    (760) 922-7322
  • 18522 US Highway 18 Ste 206
    Apple Valley, CA 92307
    (760) 946-4664

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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
56486
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

95002264 (CA)

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

LIBERTY MACIAS NP

Authorized Official Title
PARTNER
Authorized Official Phone
(909) 792-6886

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
127629OTHER (01)CAUIN

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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.
1750835013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001631002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 3 + 1 + 0 + 0 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1750835013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386395762 ALEX BRANDON CAPUCHINO DNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1200 CALIFORNIA ST STE 140
REDLANDS, CA 92374
(951) 453-0717
1104615327 SANDRA MAULTASCH
Individual
Nurse Practitioner (Psychiatric/Mental Health)1200 CALIFORNIA ST STE 140
REDLANDS, CA 92374
(909) 792-6262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750835013, enumerated in the NPI registry as an "organization" on August 04, 2016

The provider is located at 1200 California St Ste 140 Redlands, Ca 92374 and the phone number is (909) 880-4200

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

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 August 04, 2016. 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].
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