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

Linninea Boom

Individual provider Nurse Practitioner · NPI 1205281540

Linninea Boom is a Nurse Practitioner in Loma Linda, California. Qualified in 2015, 11 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

11175 Campus St Ste 11120
Loma Linda, CA 92350-1700
Phone: (909) 558-0440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95003686 (CA)

Record details

NPI number1205281540
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2016
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Loma Linda