Organization Active NPI

Inland Valley Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Pomona, CA
National Provider Identifier
1194059246
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INLAND VALLEY SURGICAL CENTER LLC
Practice address
2720 N Garey Ave
Pomona, CA 91767-1810
Phone
(909) 593-6222
Fax
(909) 593-6299
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mr. Jeremy Hogue
Title
Ceo
Phone
(949) 706-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

2720 N Garey Ave
Pomona, CA 91767-1810

Mailing address

2720 N Garey Ave
Pomona, CA 91767-1810
Phone (909) 593-6222

Other names 1

  • INLAND VALLEY SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1194059246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671810",
            "telephone_number": "909-593-6222",
            "fax_number": "909-593-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671810",
            "telephone_number": "909-593-6222",
            "fax_number": "909-593-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "HOGUE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-706-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INLAND VALLEY SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 22, 2009; 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.