NPIMap

Organization Active NPI

Pomona Valley Community Health Center

  • Community Health Clinic/Center
  • Pomona, CA
National Provider Identifier
1043565096
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
COMMUNITY CLINIC Issued in CA
Legal business name
POMONA VALLEY COMMUNITY HEALTH CENTER
Practice address
1568 N Orange Grove Ave Ste a
Pomona, CA 91767-3812
Phone
(909) 868-6666
Fax
(909) 868-0206
NPI assigned
Jul 16, 2012
Last updated
Jul 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Laura Di Sarli
Title
Administration
Phone
(909) 868-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X COMMUNITY CLINIC CA Primary
Primary Care Clinic/Center 261QP2300X COMMUNITY CLINIC CA

Addresses

Primary practice location

1568 N Orange Grove Ave Ste a
Pomona, CA 91767-3812

Mailing address

1568 N Orange Grove Ave Ste a
Pomona, CA 91767-3812
Phone (909) 868-6666

National Provider Directory

National Provider Directory

Locations

1568 N Orange Grove Ave
Ste A
Pomona, CA 91767
Phone (909) 868-6666

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1043565096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 N ORANGE GROVE AVE STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673812",
            "telephone_number": "909-868-6666",
            "fax_number": "909-868-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 N ORANGE GROVE AVE STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673812",
            "telephone_number": "909-868-6666",
            "fax_number": "909-868-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA VALLEY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "DI SARLI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "909-868-6666"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "COMMUNITY CLINIC",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "COMMUNITY CLINIC",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2012; 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.