NPIMap

Organization Active NPI

Western University of Health Sciences

  • Dental Clinic/Center
  • Pomona, CA
National Provider Identifier
1265750533
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WESTERN UNIVERSITY OF HEALTH SCIENCES
Practice address
795 E. Second Street
Suite 8
Pomona, CA 91766-2020
Phone
(909) 706-3911
Fax
(909) 469-8650
NPI assigned
May 12, 2010
Organization subpart
Yes
Parent organization
WESTERN UNIVERSITY OF HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Amy Padoongpatt
Title
Senior Director of Operations
Phone
(909) 865-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

795 E. Second Street
Suite 8
Pomona, CA 91766-2020

Mailing address

795 E. Second Street
Suite 8
Pomona, CA 91766-2020
Phone (909) 706-3911

Other names 1

  • Western University Dental Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050728000981 CA Part B Supplier - Clinic/Group Practice 0648208991 Receives reassigned benefits from 83 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pomona, CA; Moreno Valley, CA; Montclair, CA; Los Angeles, CA; Colton, CA; Chino, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cornerstone Progressive

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1265750533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E. SECOND STREET",
            "address_2": "SUITE 8",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662020",
            "telephone_number": "909-706-3911",
            "fax_number": "909-469-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E. SECOND STREET",
            "address_2": "SUITE 8",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662020",
            "telephone_number": "909-706-3911",
            "fax_number": "909-469-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "PADOONGPATT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "909-865-2565"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western University Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western University Dental 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 Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.