Individual provider · Type 1 NPI
Matthew Angkadjaja
Nurse Practitioner · Loma Linda, CA
Practice location
11467 Via Lagos
Loma Linda, CA 92354-3851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95034134 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1073462610
Matthew Angkadjaja's National Provider Identifier is 1073462610, issued on Jan 27, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Loma Linda, CA. The record was last updated on Jan 27, 2026.