Active NPI
Landmark Medical Center
- Psychiatric Residential Treatment Facility
- Pomona, CA
National Provider Identifier
1073722005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- LANDMARK MEDICAL CENTER
- Practice address
- 2030 N Garey Ave
Pomona, CA 91767-2722 - Phone
- (909) 593-2585
- Fax
- (909) 593-4120
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemary Campos Kilby
- Title
- Administrator
- Phone
- (909) 593-2585
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | 950000062 | CA | |
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
2030 N Garey Ave
Pomona, CA 91767-2722
Mailing address
2030 N Garey Ave
Pomona, CA 91767-2722
Phone (909) 593-2585
Other names 1
- Landmark Medical Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0881380 | Landmark Medical Center | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314316800000",
"number": "1073722005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672722",
"telephone_number": "909-593-2585",
"fax_number": "909-593-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672722",
"telephone_number": "909-593-2585",
"fax_number": "909-593-4120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANDMARK MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2011-08-26",
"status": "A",
"authorized_official_last_name": "KILBY",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_middle_name": "CAMPOS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-593-2585"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "CA",
"license": "950000062",
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Landmark Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.