Pilgrim Place in Claremont

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

950000084 Issued in CA

Legal business name

PILGRIM PLACE IN CLAREMONT

Practice address

721 Harrison Ave
Claremont, CA 91711-4539

Phone

(909) 399-5550

Fax

(909) 399-5566

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Bernard M Valek

Title

Chief Financial Officer

Phone

(909) 399-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PILGRIM PLACE HEALTH SERVICES CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055261

Legal name

PILGRIM PLACE IN CLAREMONT

Doing business as

PILGRIM PLACE HEALTH SERVICES CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1967

Last certification

Oct 18, 2024

Beds

62

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 8, 1915 in CA

Enrollment address

721 Harrison Ave
Claremont, CA 91711-4539

Nursing home name

PILGRIM PLACE HEALTH SERVICES CENTER

Listed as

Pilgrim Place Health Services CenterCCN 055261

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1967

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6258.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Darlene K. McPherson-Ventura, FNP

  • Family Nurse Practitioner
  • Pomona, CA
  • NPI 1235130048

  Corporate Director

  CMS ownership

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John Daliva, DO

  • Addiction Medicine (Internal Medicine) Physician
  • Pomona, CA
  • NPI 1760836662

  Nursing home

  Care Compare affiliation
• Bilal Rafic Rayes, MD

  • Hospitalist Physician
  • Upland, CA
  • NPI 1619095841

  Nursing home

  Care Compare affiliation
• Elaine Roh, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Pomona, CA
  • NPI 1033614722

  Nursing home

  Care Compare affiliation
• Gary Gursharan Sandhu, M.D.

  • Hospitalist Physician
  • Pomona, CA
  • NPI 1871513002

  Nursing home

  Care Compare affiliation
• Daljinder Takhar, DO

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1467562249

  Nursing home

  Care Compare affiliation
• Wilbert Timothy Tsai, MD

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1013114420

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1114076601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HARRISON AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114539",
            "telephone_number": "909-399-5550",
            "fax_number": "909-399-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 HARRISON AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114539",
            "telephone_number": "909-399-5550",
            "fax_number": "909-399-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIM PLACE IN CLAREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "VALEK",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-399-5505"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "950000084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18542F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PILGRIM PLACE HEALTH SERVICES CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ava Denise Phillips, LMFT
• Rebecca Jemma Phillips
• Sara Piecukonis, MS, RD
• Demetria Pierre, M.A.
• Julie Piibe, LCSW
• Daniel Pinney
• Lisa Pion-Berlin, PHD
• Dragana Gajic Pitargue, LCSW
• Plastic Surgery So Cal Medical Group, Inc.
• Lucas Poirier

• Nursing Facility/Intermediate Care Facility in Claremont, CA
• Providers in Claremont, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.