LOMA LINDA UNIVERSITY
NPI 1780740704
Dentist - Orthodontics and Dentofacial Orthopedics in San Bernardino, CA

NPI Status: Active since December 28, 2006

Contact Information

159 W HOSPITALITY LN STE 201
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 558-4616
Fax: (909) 651-3096

Get Directions Write a Review

  • Organization
  • Dentist
  • Orthodontics and Dentofacial Orthopedics
  • CLIA Number: 05D2023404
  • CLIA Cert. Type: Other - HOSPITAL BASED CLINIC
  • CLIA Exp. Date: 10-16-2026

About LOMA LINDA UNIVERSITY

This page provides the complete NPI Profile along with additional information for Loma Linda University, a provider established in San Bernardino, California operating as a Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1780740704 assigned on December 2006. The practitioner's primary taxonomy code is 1223X0400X with license number 2007 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rodney D Neal (Vice Chancellor--loma Linda Univ.)

NPI
1780740704
Provider Name
LOMA LINDA UNIVERSITY
Entity Type
Organization
Location Address
159 W HOSPITALITY LN STE 201 SAN BERNARDINO, CA 92408
Location Phone
(909) 558-4616
Location Fax
(909) 651-3096
Mailing Address
159 W HOSPITALITY LN STE 201 SAN BERNARDINO, CA 92408
Mailing Phone
(909) 558-4616
Mailing Fax
(909) 651-3096
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2006
Last Update Date
11-27-2023
Code Navigator

A dentist like Loma Linda University is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Orthodontics and Dentofacial Orthopedics

Taxonomy Code
1223X0400X
Type
Dental Providers
License No.
2007
License State
CA
Taxonomy Description
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RODNEY D NEAL

Authorized Official Title
VICE CHANCELLOR--LOMA LINDA UNIV.
Authorized Official Phone
(909) 558-4543

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G02000-02MEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2023404
Facility Type
Other - HOSPITAL BASED CLINIC
Certificate Effective Date
October 17, 2024
Certificate Expiration Date
October 16, 2026
Laboratory Director
DR. JUN WANG
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Loma Linda University on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for LOMA LINDA UNIVERSITY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780740704, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 1 + 4 + 4 + 0 + 7 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1780740704.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
159 W HOSPITALITY LN STE 201
SAN BERNARDINO, CA 92408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780740704, enumerated as an "organization" on December 28, 2006.

The provider is located at 159 W HOSPITALITY LN STE 201 SAN BERNARDINO, CA 92408 and the phone number is (909) 558-4616.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.