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LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC.
NPI 1316997596
Internal Medicine - Cardiovascular Disease in Loma Linda, CA

Active since May 11, 2006
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4200(909) 558-7975 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loma Linda University Cardiology Medical Group, Inc. NPPES

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

LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC. (NPI 1316997596) is a healthcare organization registered as a cardiovascular disease in Loma Linda, California and active in the NPI registry since May 2006. The organization lists Kenneth Jutzy, President, as its authorized official.

NPPES Registry Identity

NPI1316997596
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC.
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing AddressPo Box 10427San Bernardino, CA 92423-0427 · (909) 558-8591 · Fax (909) 558-0118
Phone(909) 558-4200
Fax(909) 558-7975
Organization SubpartNo
Authorized OfficialKenneth JutzyPresident · (909) 558-4200
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 30, 2007
✔ NPI 1316997596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
11234 ANDERSON ST, Loma Linda, CA 92354
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Other Identifiers 3

MedicaidGR0042260CA
Medicare PINW15996CA
Medicare ID-Type UnspecifiedZZZ30295Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Loma Linda University Cardiology Medical Group, Inc.'s NPI number?

The NPI number for Loma Linda University Cardiology Medical Group, Inc. is 1316997596. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Loma Linda University Cardiology Medical Group, Inc. located?

Loma Linda University Cardiology Medical Group, Inc. is located at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4200.

What is Loma Linda University Cardiology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Loma Linda University Cardiology Medical Group, Inc. was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.