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MR. NICHOLAS PUTRASAHAN
NPI 1376480780
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since May 02, 2026
1262 CAMPUS STREET, LOMA LINDA, CA 92350(909) 558-1000 Get Directions Write a Review

NPPES record last updated: May 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicholas Putrasahan NPPES

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

MR. NICHOLAS PUTRASAHAN (NPI 1376480780) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1376480780
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. NICHOLAS PUTRASAHAN
Location Address1262 CAMPUS STREETLoma Linda, CA 92350-0001
Mailing Address1262 Campus StreetLoma Linda, CA 92350-0001 · (909) 558-1000
Phone(909) 558-1000
Sole ProprietorYes
Enumeration DateMay 2, 2026
NPPES CertifiedMay 2, 2026
✔ NPI 1376480780 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.
1262 CAMPUS STREET, Loma Linda, CA 92350
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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 Nicholas Putrasahan's NPI number?

The NPI number for Nicholas Putrasahan is 1376480780. It was assigned to this individual provider in the NPPES registry on May 2, 2026.

Where is Nicholas Putrasahan located?

Nicholas Putrasahan practices at 1262 Campus Street, Loma Linda, CA 92350. The listed phone number is (909) 558-1000.

What is Nicholas Putrasahan'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 Nicholas Putrasahan was last updated on May 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.