1. Home
  2. Directory
  3. California
  4. Loma Linda
  5. Pediatrics
  6. NPI Profile

EUNTAIK HA M.D.
NPI 1578824512
Pediatrics - Neonatal-Perinatal Medicine in Loma Linda, CA

Active since June 06, 2012PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Euntaik Ha M.d. NPPES

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

EUNTAIK HA M.D. (NPI 1578824512) is an individual neonatal-perinatal medicine provider in Loma Linda, California, licensed in California (A128999) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578824512
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameEUNTAIK HACredential: M.D.
Location Address11234 ANDERSON STLoma Linda, CA 92354
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804 · (909) 558-4000
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1578824512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A128999
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A128999 (CA)
11234 ANDERSON ST, Loma Linda, CA 92354
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Euntaik Ha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Euntaik Ha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm
Same address
Anatomic Pathology & Clinical Pathology
11234 ANDERSON ST
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1245605781 (909) 558-6122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Euntaik Ha's NPI number?

The NPI number for Euntaik Ha is 1578824512. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Euntaik Ha located?

Euntaik Ha practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Euntaik Ha's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Euntaik Ha enrolled in Medicare?

Yes. Euntaik Ha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Euntaik Ha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Euntaik Ha reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Euntaik Ha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Euntaik Ha was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.