NPIMap

Individual provider Active NPI

Elaine Roh, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Pomona, CA
National Provider Identifier
1033614722
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A164766 Issued in CA
Practice address
1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone
(909) 469-9494
Fax
(909) 469-2120
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A164766 CA Primary
Family Medicine Physician 207Q00000X A164766 CA

Addresses

Primary practice location

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027

Mailing address

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone (909) 469-9494

Other identifiers 1

IdentifierTypeStateIssuer
1033614722MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418000213 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 6901230648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Family Medicine Associates, IncGroup PAC ID 4284547522, 65 clinicians

Practice addresses (Care Compare)

1770 N Orange Grove Ave
Suite 101
Pomona, CA 91767-3027
Phone (909) 469-9494

Hospital & facility affiliations

  • Elite Care Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 559409
  • Calcare Home Health Inc Home health agency, Pomona, CA, CCN 058351
  • Brio Home Health Services, Inc Home health agency, Chino, CA, CCN 059020
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Woods Health Services Nursing home, La Verne, CA, CCN 056083
  • Claremont Manor Care Center Nursing home, Claremont, CA, CCN 555085
  • Pilgrim Place Health Services Center Nursing home, Claremont, CA, CCN 055261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A164766CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1033614722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE STE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROH",
        "first_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A164766",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A164766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033614722",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.