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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

EDWIN SIREGAR
NPI 1346160207
Registered Nurse - Critical Care Medicine in Loma Linda, CA

Active since July 20, 2026
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edwin Siregar NPPES

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

EDWIN SIREGAR (NPI 1346160207) is an individual critical care medicine provider in Loma Linda, California, licensed in California (739889) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1346160207
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameEDWIN SIREGAR
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 825-7084
Phone(909) 825-7084
Sole ProprietorYes
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1346160207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in CA · 739889
11201 BENTON ST, Loma Linda, CA 92357
Open in Google Maps ↗

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.

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 Edwin Siregar's NPI number?

The NPI number for Edwin Siregar is 1346160207. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Edwin Siregar located?

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

What is Edwin Siregar's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Edwin Siregar was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.