Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386749067 Individual Practitioner Male Practitioner

Dr. Robert Eugene Soderblom , MD

Specialist • Loma Linda, CA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Soderblom, MD is a registered healthcare professional specializing in Specialist in Loma Linda, CA. Practice services are available at 11201 BENTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11201 Benton St
111n

Loma Linda, CA 923571000

Telephone 9098257084
Fax 9097773858
Associated Practice Facility / Clinic
🏢 Loma Linda Vamc Facility NPI 1255399952

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Loma Linda, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 56.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Loma Linda, CA (6446 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G12254

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Narcotic
AS4562193 (CA)
Commercial Insurance / Payer ID Medical License
G12254 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Arthur Chang , MD

Radiology - Diagnostic Radiology

NPI 1003020637

Doctor of Medicine (M.D.)

Jungmi Lee , LCSW

Social Worker - Clinical

NPI 1003068156

Licensed Clinical Social Worker

Petru Papacostea

Internal Medicine

NPI 1003128679
Patty Dallmeier , RRT

Respiratory Therapist, Registered - Pulmonary Diagnostics

NPI 1003164757

Registered Respiratory Therapist

Dr. Krystal Gregg , PsyD

Psychologist - Clinical

NPI 1003294703

Doctor of Psychology (Psy.D.)

Jessica Morales Sanchez , ACSW

Social Worker - Clinical

NPI 1003654393

Academy of Certified Social Workers

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11201 BENTON ST, 111N, LOMA LINDA, CA 923571000 (Tel: 9098257084)

📍
Updated Business Mailing Address July 08, 2007

Registered at 34394 LA RAYE DR, YUCAIPA, CA 923995023 (Tel: 9098357084)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SODERBLOM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #G12254 in CA)

🟢
Initial NPI Registration & Enumeration September 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386749067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

34394 La Raye Dr

Yucaipa, CA 923995023

Phone: 9098357084

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.