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JACK SEEBURGER
NPI 1255344727
Dermatology - MOHS-Micrographic Surgery in Loma Linda, CA

Active since August 14, 2006
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084(909) 777-3225 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Seeburger NPPES

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

JACK SEEBURGER (NPI 1255344727) is an individual mohs-micrographic surgery provider in Loma Linda, California, licensed in California (G083506) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1255344727
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameJACK SEEBURGER
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address206 Orchid CtRedlands, CA 92373-6130
Phone(909) 825-7084
Fax(909) 777-3225
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1255344727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CA · G083506
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
11201 BENTON ST, Loma Linda, CA 92357
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Other Identifiers 2

Medicaid01319854CO
Medicare PIN00G835060CA

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 Jack Seeburger's NPI number?

The NPI number for Jack Seeburger is 1255344727. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Jack Seeburger located?

Jack Seeburger practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Jack Seeburger's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Jack Seeburger was last updated on July 9, 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.