MR. JAMES ROBERT ETTELDORF N.P.
NPI 1164559761
Nurse Practitioner - Family in Loma Linda, CA
About Mr. James Robert Etteldorf N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAMES ROBERT ETTELDORF N.P. (NPI 1164559761) is an individual family provider in Loma Linda, California, licensed in California (10542) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. James Robert Etteldorf N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 James Etteldorf's NPI number?
The NPI number for James Etteldorf is 1164559761. It was assigned to this individual provider in the NPPES registry on February 28, 2007.
Where is James Etteldorf located?
James Etteldorf practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-8514.
What is James Etteldorf's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is James Etteldorf enrolled in Medicare?
Yes. James Etteldorf is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for James Etteldorf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
