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

Kevin Boslan Napitupulu

Individual provider Diagnostic Radiology Physician · NPI 1538629068

Kevin Boslan Napitupulu is a Diagnostic Radiology in Loma Linda, California. Graduated from Loma Linda University School of Medicine in 2019, 7 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

11234 Anderson St Ste MC-B622
Loma Linda, CA 92354-2804
Phone: (909) 558-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2115 Leiter Rd, Miamisburg, OH 45342-3600 — (937) 384-6800

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A178740 (CA)

Record details

NPI number1538629068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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