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

Edwin Siregar

Individual provider Critical Care Medicine Registered Nurse · NPI 1346160207

Edwin Siregar is a Critical Care Medicine Registered Nurse in Loma Linda, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 739889 (CA)

Record details

NPI number1346160207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

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