Organization Active NPI

Pomona Surgical Supply Co.

  • Durable Medical Equipment & Medical Supplies
  • Pomona, CA
National Provider Identifier
1225190622
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
POMONA SURGICAL SUPPLY CO.
Practice address
733 E Holt Ave
Pomona, CA 91767-5627
Phone
(909) 623-4378
Fax
(909) 622-2375
NPI assigned
Dec 14, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mrs. Marie L Helliesen
Title
Owner
Phone
(909) 624-5972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

733 E Holt Ave
Pomona, CA 91767-5627

Mailing address

885 Kent Dr
Claremont, CA 91711-3312
Phone (909) 624-5972

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1225190622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 KENT DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113312",
            "telephone_number": "909-624-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675627",
            "telephone_number": "909-623-4378",
            "fax_number": "909-622-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA SURGICAL SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "HELLIESEN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-624-5972",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "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 Aug 14, 2008; 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.