Jerry L. Pettis Memorial VA Medical Center
NPI 1275691594ActiveOrganization· Special Hospital· Loma Linda, CA
Special Hospital in Loma Linda, California, registered in NPPES in December 2006. The authorized official on file is Dean Stordahl, Medical Center Director.
Overview
| NPI | 1275691594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Special Hospital Primary | 284300000X | G03312 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Special Hospital providers in Loma Linda
- 1760774947