LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC.
NPI 1619104155
Urology in Beaumont, CA

Q: What is Loma Linda University Urology Medical Group, Inc.'s specialty?

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

Active since June 11, 2009

81 HIGHLAND SPRINGS AVE., STE. 103, BEAUMONT, CA 92223(909) 558-2830 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Loma Linda University Urology Medical Group, Inc. NPPES

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

LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. (NPI 1619104155) is a healthcare organization registered as an urology in Beaumont, California and active in the NPI registry since June 2009. The organization lists Herbert Ruckle, President, as its authorized official.

NPPES Registry Identity

NPI1619104155

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameLOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC.

Location Address81 HIGHLAND SPRINGS AVE., STE. 103Beaumont, CA 92223-2511

Mailing AddressFile # 54701Los Angeles, CA 90074-0001 · (909) 558-3111

Phone(909) 558-2830

Organization SubpartNo

Authorized OfficialHerbert RucklePresident · (909) 558-2830

Enumeration DateJune 11, 2009

Last NPPES UpdateJune 19, 2009

✔ NPI 1619104155 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.

81 HIGHLAND SPRINGS AVE., Beaumont, CA 92223

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAM MOGHADAM, M.D., INC.

Family Medicine

81 HIGHLAND SPRINGS AVE., SUITE #306
BEAUMONT, CA 92223

Riverside County (951) 769-2222

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 University Urology Medical Group, Inc.'s NPI number?

The NPI number for Loma Linda University Urology Medical Group, Inc. is 1619104155. It was assigned to this organization in the NPPES registry on June 11, 2009.

Where is Loma Linda University Urology Medical Group, Inc. located?

Loma Linda University Urology Medical Group, Inc. is located at 81 Highland Springs Ave. Ste. 103, Beaumont, CA 92223. The listed phone number is (909) 558-2830.

What is Loma Linda University 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 University Urology Medical Group, Inc. was last updated on June 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.