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BRANDON LEE HIRO PUTRA
NPI 1215688270
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since January 11, 2022
11201 BENTON ST, LOMA LINDA, CA 92357(510) 473-2259 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, May 24, 2025, Jan 11, 2022 (3 updates tracked since 2022).

About Brandon Lee Hiro Putra NPPES

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

BRANDON LEE HIRO PUTRA (NPI 1215688270) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1215688270
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON LEE HIRO PUTRA
Location Address11201 BENTON STLoma Linda, CA 92357-9147
Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (510) 473-2259
Phone(510) 473-2259
Sole ProprietorYes
Enumeration DateJanuary 11, 2022
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1215688270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11201 BENTON ST, Loma Linda, CA 92357
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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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.
Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
JUNGMI LEE LCSW
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PETRU PAPACOSTEA
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY J DALLMEIER RRT
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY BEAVER LSW
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 674-2794
DR. KRYSTAL GREGG PSYD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
HOLLY CORNEJO FNP-C
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MELISSA SOLOMON-JACKSON
Registered Nurse (Emergency)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 805-7084

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 Brandon Putra's NPI number?

The NPI number for Brandon Putra is 1215688270. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Brandon Putra located?

Brandon Putra practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (510) 473-2259.

What is Brandon Putra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brandon Putra was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.