LOMA LINDA UNIVERSITY RADIATION MEDICINE – NPI #1134175052
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

LOMA LINDA UNIVERSITY RADIATION MEDICINE is a radiologist located in RIDGECREST, CA. NPPES has assigned the NPI number 1134175052 to LOMA LINDA UNIVERSITY RADIATION MEDICINE on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOMA LINDA UNIVERSITY RADIATION MEDICINE below.

NPI Profile for
LOMA LINDA UNIVERSITY RADIATION MEDICINE

NPI Number
1134175052
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOMA LINDA UNIVERSITY RADIATION MEDICINE
Primary location
1517 NORTH DOWNS ST
RIDGECREST, CA 93555
Phone: (760) 446-7714 Fax: (909) 558-3905
Mailing address
PO BOX 30969
LOS ANGELES, CA 90030-0969
Phone: (909) 558-3014 Fax: (909) 558-3292
Organization Subpart
No
Authorized Official
JERRY SLATER
PRESIDENT
Phone: (909) 558-3014
Updated
Identifiers

Identifiers for LOMA LINDA UNIVERSITY RADIATION MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0063624
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.