OrganizationActive
Jerry L. Pettis Memorial Va Medical Center
NPI 1275691594 · Special Hospital · Loma Linda, CA
Jerry L. Pettis Memorial Va Medical Center is a Special Hospital organization in Loma Linda, CA (NPI 1275691594).
Provider details
- NPI number
- 1275691594
- Entity type
- Organization
- Primary specialty
- Special HospitalHospitals
- Organization subpart
- No
- Authorized official
- Dean Stordahl, Medical Center Director(909) 825-7084
- License
- G03312 (LA)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Street-level locationGet directions
Mailing address
116 N Plymouth Way
San Bernardino, CA 92408-4116
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jerry L. Pettis Memorial Va Medical Center's NPI number?
- Jerry L. Pettis Memorial Va Medical Center's National Provider Identifier (NPI) is 1275691594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry L. Pettis Memorial Va Medical Center?
- Jerry L. Pettis Memorial Va Medical Center is classified in the NPPES registry as Special Hospital (Hospitals).
- Where is Jerry L. Pettis Memorial Va Medical Center located?
- Jerry L. Pettis Memorial Va Medical Center's practice location on file with NPPES is 11201 Benton St, Loma Linda, CA 92357-1000.
- What is Jerry L. Pettis Memorial Va Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Jerry L. Pettis Memorial Va Medical Center is (909) 825-7084.
- Who is the authorized official for Jerry L. Pettis Memorial Va Medical Center?
- The authorized official listed on Jerry L. Pettis Memorial Va Medical Center's NPPES record is Dean Stordahl, Medical Center Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry L. Pettis Memorial Va Medical Center's NPI active?
- Yes — Jerry L. Pettis Memorial Va Medical Center's NPI (1275691594) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.