Healthcare Provider Details

I. General information

NPI: 1285209882
Provider Name (Legal Business Name): MEHER RUSTOM IRANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 BARTON RD
LOMA LINDA CA
92373-5304
US

IV. Provider business mailing address

LOMA LINDA UNIVERSITY MEDICAL CENTER- BHI 9009 BARTON ROAD
REDLANDS CA
92354
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4000
  • Fax:
Mailing address:
  • Phone: 914-325-4868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA195350
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA195350
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: