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JERRY L PETTIS VA MEMORIAL HOSPITAL
NPI 1871755728
Psychiatric Hospital in Loma Linda, CA

Active since July 01, 2008
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry L Pettis Va Memorial Hospital NPPES

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

JERRY L PETTIS VA MEMORIAL HOSPITAL (NPI 1871755728) is a healthcare organization registered as a psychiatric hospital in Loma Linda, California and active in the NPI registry since July 2008. The organization lists Christopher Getutua Landar, Lvn, as its authorized official.

NPPES Registry Identity

NPI1871755728
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameJERRY L PETTIS VA MEMORIAL HOSPITAL
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address11201 Benton StLoma Linda, CA 92357-1000
Phone(909) 825-7084
Organization SubpartNo
Authorized OfficialChristopher Getutua LandarLvn · (909) 825-7084
Enumeration DateJuly 1, 2008
✔ NPI 1871755728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
11201 BENTON ST, Loma Linda, CA 92357
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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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.
Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
JUNGMI LEE LCSW
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PETRU PAPACOSTEA
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY J DALLMEIER RRT
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY BEAVER LSW
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 674-2794
DR. KRYSTAL GREGG PSYD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
HOLLY CORNEJO FNP-C
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MELISSA SOLOMON-JACKSON
Registered Nurse (Emergency)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 805-7084

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 Jerry L Pettis VA Memorial Hospital's NPI number?

The NPI number for Jerry L Pettis VA Memorial Hospital is 1871755728. It was assigned to this organization in the NPPES registry on July 1, 2008.

Where is Jerry L Pettis VA Memorial Hospital located?

Jerry L Pettis VA Memorial Hospital is located at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Jerry L Pettis VA Memorial Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry L Pettis VA Memorial Hospital was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.