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MATTHEW ANGKADJAJA
NPI 1073462610
Nurse Practitioner in Loma Linda, CA

Active since January 27, 2026
11467 VIA LAGOS, LOMA LINDA, CA 92354(626) 231-9465 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Angkadjaja NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW ANGKADJAJA (NPI 1073462610) is an individual nurse practitioner in Loma Linda, California, licensed in California (95034134) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1073462610
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMATTHEW ANGKADJAJA
Location Address11467 VIA LAGOSLoma Linda, CA 92354-3851
Mailing Address11467 Via LagosLoma Linda, CA 92354-3851 · (626) 231-9465
Phone(626) 231-9465
Sole ProprietorYes
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1073462610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95034134
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11467 VIA LAGOS, Loma Linda, CA 92354
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACCESS STAFFING
Nurse Practitioner (Family)
11467 VIA LAGOS
LOMA LINDA, CA 92354
San Bernardino County (909) 709-7941

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Angkadjaja's NPI number?

The NPI number for Matthew Angkadjaja is 1073462610. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Matthew Angkadjaja located?

Matthew Angkadjaja practices at 11467 Via Lagos, Loma Linda, CA 92354. The listed phone number is (626) 231-9465.

What is Matthew Angkadjaja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Matthew Angkadjaja was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.