Active NPI
Orange Family Clinic
- Specialist
- Orange, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H0730
- Legal business name
- ORANGE FAMILY CLINIC
- Practice address
- 3306 Ridgemont Dr
Orange, TX 77630-4236 - Phone
- (409) 882-0995
- Fax
- (409) 883-4440
- NPI assigned
- Mar 14, 2006
- Reactivated
- May 21, 2009
- Last updated
- May 20, 2024
- 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
- Nick Pomonis, DO
- Title
- Owner
- Phone
- (409) 738-2882
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H0730 | TX | Primary |
Addresses
Primary practice location
3306 Ridgemont Dr
Orange, TX 77630-4236
Mailing address
PO Box 669386
Dallas, TX 75266-9386
Phone (877) 896-6474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0973723 | Other | TX | CLIA CERTIFICATE |
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 |
|---|---|---|---|
| 45D0973723 | Orange Family Clinic | Certificate of waiver | May 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
3306 Ridgemont Dr
Orange, TX 77630
Phone (409) 882-0995
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Orange, TX
- NPI 1225034168
-
- Family Nurse Practitioner
- Beaumont, TX
- NPI 1235244971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716163200000",
"number": "1083683098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669386",
"city": "DALLAS",
"state": "TX",
"postal_code": "752669386",
"telephone_number": "877-896-6474",
"fax_number": "409-883-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 RIDGEMONT DR",
"city": "ORANGE",
"state": "TX",
"postal_code": "776304236",
"telephone_number": "409-882-0995",
"fax_number": "409-883-4440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"deactivation_date": "2009-03-02",
"reactivation_date": "2009-05-21",
"status": "A",
"authorized_official_last_name": "POMONIS",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-738-2882",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H0730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA CERTIFICATE",
"identifier": "45D0973723",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, TX
- Orange Clinical Associates PA
- Orange Community Action Association (Meals On Wheels)
- Orange County Ambulance Service, Inc.
- Orange County Physical Therapy LLC
- Orange County Urgent Care PLLC (Orange County Urgent Care)
- Orange Family Dentistry, PLLC
- Orange Family Practice Associates
- Orange Medical Surgical Assoc LLP
- Orange Pediatrics, PA
- Orange Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.