Pomona Valley Hospital Medical Center

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Legal business name

POMONA VALLEY HOSPITAL MEDICAL CENTER

Practice address

1798 N Garey Ave
Pomona, CA 91767-2918

Phone

(909) 865-9831

NPI assigned

Apr 9, 2020

Organization subpart

Yes

Parent organization

POMONA VALLEY HOSPITAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Oliver Grages

Title

Clinical Exercise Physiologist

Phone

(909) 865-9831

Specialties & licenses 1

Addresses

Other names 1

• Pomona Valley Hospital Medical Center Doing business as

Part of

Pomona Valley Hospital Medical Center

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/52bd19c6-70df-487b-85b8-29be7abf17a1/

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1184243263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-865-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-865-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA VALLEY HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POMONA VALLEY HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "GRAGES",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "CLINICAL EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "909-865-9831"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomona Valley Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pomona Surgical Supply Co., Inc.
• Pomona Surgical Supply Company
• Pomona Unified School District
• Pomona Valley Cardiac Surgery
• Pomona Valley Community Health Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Imaging Group
• Pomona Valley Imaging Medical Group Inc
• Pomona Valley Neonatology Medical Group

• Clinical Exercise Physiologist in Pomona, CA
• Providers in Pomona, CA by specialty
• Clinical Exercise Physiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.