NPIMap

Organization Active NPI

Western University of Health Sciences

  • Dental Clinic/Center
  • Pomona, CA
National Provider Identifier
1265785968
Registry record updated Oct 18, 2012
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
309 E 2ND St
Pomona, CA 91766-1854
Phone
(909) 706-3943
Fax
(909) 706-8650
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN UNIVERSITY OF HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Steven William Friedrichsen, DDS
Title
Dean
Phone
(909) 706-3504

Specialties & licenses 1

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

Addresses

Primary practice location

309 E 2ND St
Pomona, CA 91766-1854

Mailing address

309 E 2ND St
Health Education Center #3317
Pomona, CA 91766-1854
Phone (909) 706-3943

Other names 1

  • Western University Dental Center Outreach Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Progressive7 organizations share this tax ID, including this one
Part of
Cornerstone Progressive

Other organizations with this tax ID 6

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

Locations

309 E 2nd St
#3317
Pomona, CA 91766

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1265785968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "address_2": "HEALTH EDUCATION CENTER #3317",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-706-3943",
            "fax_number": "909-706-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-706-3943",
            "fax_number": "909-706-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN UNIVERSITY OF HEALTH SCIENCES",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICHSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "909-706-3504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western University Dental Center Outreach",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 18, 2012; 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.