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LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
NPI 1396791901
Urology in Loma Linda, CA

Active since May 25, 2006
11370 ANDERSON ST, STE 1100, LOMA LINDA, CA 92354(909) 558-2830(909) 558-3905 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loma Linda Univ Urology Medical Group Inc NPPES

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

LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC (NPI 1396791901) is a healthcare organization registered as an urology in Loma Linda, California and active in the NPI registry since May 2006. The organization lists Herbert Ruckle, President Llu Urology Medical Group, as its authorized official.

NPPES Registry Identity

NPI1396791901
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
Location Address11370 ANDERSON ST, STE 1100Loma Linda, CA 92354
Mailing AddressFile Number 54701Los Angeles, CA 90074-4701 · (909) 558-3111 · Fax (909) 558-3905
Phone(909) 558-2830
Fax(909) 558-3905
Organization SubpartNo
Authorized OfficialHerbert RucklePresident Llu Urology Medical Group · (909) 558-2830
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396791901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
11370 ANDERSON ST, Loma Linda, CA 92354
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Other Identifiers 1

MedicaidGR0041730CA

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.

JOHN Y KIM M.D.
Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
EDMUND YUEY KUN KO M.D.
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2830
SNORRI OLAFSSON M.D.
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2191
SIGVE K. TONSTAD M.D.
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2870
KHASHAYAR DASHTIPOUR M.D.
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2880
DOUGLAS DEMING M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2848
ABEL TORRES M.D.
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2055
MIA NEPOMUCENO-PEREZ M.D.
Pathology (Anatomic Pathology)
11370 ANDERSON ST, STE 2960
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6422

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 Univ Urology Medical Group Inc's NPI number?

The NPI number for Loma Linda Univ Urology Medical Group Inc is 1396791901. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Loma Linda Univ Urology Medical Group Inc located?

Loma Linda Univ Urology Medical Group Inc is located at 11370 Anderson St Ste 1100, Loma Linda, CA 92354. The listed phone number is (909) 558-2830.

What is Loma Linda Univ Urology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Loma Linda Univ Urology Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.