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

Active since December 28, 2006CLIA Certified · 2 labs
159 W HOSPITALITY LN STE 201, SAN BERNARDINO, CA 92408(909) 558-4616(909) 651-3096 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loma Linda University NPPES

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

LOMA LINDA UNIVERSITY (NPI 1780740704) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in San Bernardino, California and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Rodney D Neal, Vice Chancellor--loma Linda Univ., as its authorized official.

NPPES Registry Identity

NPI1780740704
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameLOMA LINDA UNIVERSITY
Location Address159 W HOSPITALITY LN STE 201San Bernardino, CA 92408-3348
Mailing Address159 W Hospitality Ln Ste 201San Bernardino, CA 92408-3348 · (909) 558-4616 · Fax (909) 651-3093
Fax(909) 651-3096
Organization SubpartNo
Authorized OfficialRodney D NealVice Chancellor--loma Linda Univ. · (909) 558-4543
Enumeration DateDecember 28, 2006
Last NPPES UpdateNovember 27, 2023
NPI 1780740704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 2007
Definition
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.
159 W HOSPITALITY LN STE 201, San Bernardino, CA 92408

Other Identifiers 1

MedicaidG02000-02CA

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

CLIA Laboratory Certificates CMS CLIA 2

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 05D0998306

Loma Linda University Hlth Care Occupational Hlth Ctr · San Bernardino, CA
Active · expires Apr 10, 2028
CLIA Number05D0998306
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorHaitham Juma
Laboratory Phone(909) 558-6222
Laboratory LocationLoma Linda University Hlth Care Occupational Hlth Ctr328 E Commercial Rd Ste 101, San Bernardino, CA 92408
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 05D2023404

Loma Linda University Children's Hospital Clinical Laboratory · San Bernardino, CA
Active · expires Oct 16, 2026
CLIA Number05D2023404
Laboratory TypeHospital Based Clinic
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDr. Jun Wang
Laboratory Phone(909) 558-4400
Laboratory LocationLoma Linda University Children's Hospital Clinical Laboratory250 E Caroline St Ste C, San Bernardino, CA 92408
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

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

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's NPI number?

The NPI number for Loma Linda University is 1780740704. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Loma Linda University located?

Loma Linda University is located at 159 W Hospitality Ln Ste 201, San Bernardino, CA 92408. The listed phone number is (909) 558-4616.

What is Loma Linda University's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Does Loma Linda University hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Loma Linda University was last updated on November 27, 2023. 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.