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LLUSD SPECIAL CARE DENTISTRY
NPI 1568530939
Clinic/Center - Dental in Loma Linda, CA

Active since December 01, 2006CLIA 05D0965014 · Waiver
11092 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4611(909) 558-0106 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Llusd Special Care Dentistry NPPES

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

LLUSD SPECIAL CARE DENTISTRY (NPI 1568530939) is a healthcare organization registered as a dental in Loma Linda, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists John William Leyman, Director, as its authorized official.

NPPES Registry Identity

NPI1568530939
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLLUSD SPECIAL CARE DENTISTRY
Location Address11092 ANDERSON STLoma Linda, CA 92350-1706
Mailing Address11092 Anderson StLoma Linda, CA 92350-1706 · (909) 558-4611 · Fax (909) 558-0106
Phone(909) 558-4611
Fax(909) 558-0106
Organization SubpartNo
Authorized OfficialJohn William LeymanDirector · (909) 558-4611
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568530939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
11092 ANDERSON ST, Loma Linda, CA 92350
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0965014

Llumc Special Care Dentistry · Loma Linda, CA
Active · expires Sep 7, 2027
CLIA Number05D0965014
Laboratory TypeHospital Based Clinic
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorWesley T. Stevens
Laboratory Phone(909) 558-4400
Laboratory LocationLlumc Special Care Dentistry11092 Anderson Street, Loma Linda, CA 92350
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

HYUN JI SOPHIA KANG DDS
Dentist (Endodontics)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4681
DR. JONATHAN ROBERT CHANNER DDS
Dentist
11092 ANDERSON ST, DEPARTMENT OF DENTAL ANESTHESIA
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4611
YEKTA JASMINE ASADI
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (949) 878-8979
DR. JUDY HIYOUNG KANG DDS
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
SAMIR GWALANI DDS
Student in an Organized Health Care Education/Training Program
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
YU-CHEN CHENG
Dentist (Pediatric Dentistry)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. JUSTIN KEITH TERRILL D.D.S.
Dentist
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4222
DR. MEL-ANIZI ABANTE BERSABA DDS
Dentist (General Practice)
11092 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-8187

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 Llusd Special Care Dentistry's NPI number?

The NPI number for Llusd Special Care Dentistry is 1568530939. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Llusd Special Care Dentistry located?

Llusd Special Care Dentistry is located at 11092 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4611.

What is Llusd Special Care Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Does Llusd Special Care Dentistry hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0965014) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Llusd Special Care Dentistry 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 6 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.