EZRA PANJAITAN
NPI 1881442796
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since May 07, 2024
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4094 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezra Panjaitan NPPES

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

EZRA PANJAITAN (NPI 1881442796) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1881442796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEZRA PANJAITAN
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804
Sole ProprietorNo
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
NPI 1881442796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92354

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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Ezra Panjaitan's NPI number?

The NPI number for Ezra Panjaitan is 1881442796. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Ezra Panjaitan located?

Ezra Panjaitan practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4094.

What is Ezra Panjaitan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ezra Panjaitan was last updated on May 7, 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.