San Gabriel Pomona Regional Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SAN GABRIEL POMONA REGIONAL CENTER

Practice address

761 Corporate Center Dr
Pomona, CA 91768-2647

Phone

(909) 620-7722

Fax

(909) 620-7372

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Keith Penman

Title

Executive Director

Phone

(909) 620-7722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083834568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CORPORATE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682647",
            "telephone_number": "909-620-7722",
            "fax_number": "909-620-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 CORPORATE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682647",
            "telephone_number": "909-620-7722",
            "fax_number": "909-620-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL POMONA REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-620-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omied Samiee, M.D.
• Jessica Briana Sample
• Marcus Daniel Sample
• Srinath Samudrala, M.D.
• San Antonio Pharmacy
• San Miguel Community Clinic
• San Miguel Urgent Care Pomona
• Sana Qureshi MD
• Sarah Elizabeth Sanasac
• Tatiana Sanchez Baires

• Case Management Agency in Pomona, CA
• Providers in Pomona, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.