San Miguel Urgent Care Pomona

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SAN MIGUEL URGENT CARE POMONA

Practice address

825 N Park Ave
Pomona, CA 91768-3002

Phone

(909) 622-9988

Fax

(909) 618-0961

NPI assigned

Sep 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahfouz M. Michael, MD

Title

President

Phone

(323) 999-8267

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003334384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683002",
            "telephone_number": "909-622-9988",
            "fax_number": "909-618-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683002",
            "telephone_number": "909-622-9988",
            "fax_number": "909-618-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MIGUEL URGENT CARE POMONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-999-8267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Daniel Sample
• Srinath Samudrala, M.D.
• San Antonio Pharmacy
• San Gabriel Pomona Regional Center
• San Miguel Community Clinic
• Sana Qureshi MD
• Sarah Elizabeth Sanasac
• Tatiana Sanchez Baires
• Celia Ariande Sanchez Casarez, M.D.
• Israel Sanchez Neri

• Urgent Care Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.