Provider Demographics
NPI:1770527095
Name:LOOMBA, NAVDEEP (MD)
Entity type:Individual
Prefix:DR
First Name:NAVDEEP
Middle Name:
Last Name:LOOMBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15610 BEAR VALLEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-8822
Mailing Address - Country:US
Mailing Address - Phone:760-245-9999
Mailing Address - Fax:760-245-8855
Practice Address - Street 1:15610 BEAR VALLEY RD STE A
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8822
Practice Address - Country:US
Practice Address - Phone:760-245-9999
Practice Address - Fax:760-245-8855
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93212207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93212OtherMEDICAL LICENSE
CA9717838Medicaid
BL7935616OtherUS DEA LICENSE NUMBER
CA00A932121Medicare PIN
H70697Medicare UPIN