Active NPI
Evan Frank Thomas
- Clinical Social Worker
- Pomona, CA
National Provider Identifier
1104275734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118550
- Practice address
- 2063 Rancho Valley Dr P.O. Box 237
Suite Ste 320
Pomona, CA 91766 - Phone
- (909) 910-1214
- NPI assigned
- Jun 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118550 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 14220705-3501 | UT |
Addresses
Primary practice location
2063 Rancho Valley Dr P.O. Box 237
Suite Ste 320
Pomona, CA 91766
Mailing address
2063 Rancho Valley Dr P.O. Box 237
Suite Ste 320
Pomona, CA 91766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118550 | CA | MD | Clinical Social Worker |
| 14220705-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Counseling Psychotherapy, Inc. | Past | Accepting new patients | |
| Community Access Network Non Profit Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lake Elsinore, CA
- NPI 1518298702
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Corona, CA
- NPI 1861058653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752969600000",
"number": "1104275734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2063 RANCHO VALLEY DR P.O. BOX 237",
"address_2": "SUITE STE 320",
"city": "POMONA",
"state": "CA",
"postal_code": "91766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2063 RANCHO VALLEY DR P.O. BOX 237",
"address_2": "SUITE STE 320",
"city": "POMONA",
"state": "CA",
"postal_code": "91766",
"telephone_number": "909-910-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "EVAN",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-04",
"last_updated": "2025-07-20",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118550",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14220705-3501",
"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 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.