Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Loma Linda University Medical Center

Organization Pediatric Nurse Practitioner · NPI 1912033846

Loma Linda University Medical Center is a Pediatric Nurse Practitioner in Loma Linda, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-8514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 533452 (CA)

Record details

NPI number1912033846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Jo Vollmer-Sandholm — Pediatric Nurse Practitioner · (909) 558-8514
NPI enumeratedFebruary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address25123 Daisy Ave, Loma Linda, CA 92354-3510

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