Active NPI
James T. Warren, M.D.
- Pediatrics Physician
- Pomona, CA
National Provider Identifier
1003887993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A74956
- Practice address
- 250 W Bonita Ave
#200
Pomona, CA 91767-1850 - Phone
- (909) 629-5067
- Fax
- (909) 865-7688
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A74956 | CA | Primary |
Addresses
Primary practice location
250 W Bonita Ave
#200
Pomona, CA 91767-1850
Mailing address
250 W Bonita Ave
#200
Pomona, CA 91767-1850
Phone (909) 629-5067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 903689 | Other | CA | AAP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74956 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Hollenberg Agrawal Knoll Warren Hong Fung Tillis Kaushal MDS | Pediatrics | Past | Accepting new patients |
| Pediatric Subspecialty Faculty, Inc. | Pediatrics | Past | Accepting new patients |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Pediatrics Physician
- Pomona, CA
- NPI 1366447781
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1003887993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W BONITA AVE",
"address_2": "#200",
"city": "POMONA",
"state": "CA",
"postal_code": "917671850",
"telephone_number": "909-629-5067",
"fax_number": "909-865-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W BONITA AVE",
"address_2": "#200",
"city": "POMONA",
"state": "CA",
"postal_code": "917671850",
"telephone_number": "909-629-5067",
"fax_number": "909-865-7688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "JAMES",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A74956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAP #",
"identifier": "903689",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.