NPIMap

Organization Active NPI

Pomona Alcohol & Drug Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Pomona, CA
National Provider Identifier
1184992828
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
POMONA ALCOHOL & DRUG RECOVERY CENTER
Practice address
1151 Fairplex Dr
Pomona, CA 91768-1247
Phone
(909) 622-2273
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Tim Ejindu
Title
Director
Phone
(909) 622-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1151 Fairplex Dr
Pomona, CA 91768-1247

Mailing address

PO Box 3936
Ontario, CA 91761-0987

National Provider Directory

National Provider Directory
Tax ID family
Pomona Alcohol Drug Recovery Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1184992828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3936",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917610987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 FAIRPLEX DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681247",
            "telephone_number": "909-622-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA ALCOHOL & DRUG RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "EJINDU",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-622-2273"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 8, 2011; 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.