Active NPI
Ricardo Di Sarli MD a Medical Corporation
Doing business as Pomona Mission Medical Clinic
- Family Medicine Physician
- Pomona, CA
National Provider Identifier
1285739979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RICARDO DI SARLI MD A MEDICAL CORPORATION
- Doing business as
- Pomona Mission Medical Clinic
- Practice address
- 1568 N Orange Grove
Pomona, CA 91767 - Phone
- (909) 868-6666
- Fax
- (909) 868-0206
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cesar A. Rodriguez, M. D.
- Title
- President/Owner
- Phone
- (909) 868-6666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1568 N Orange Grove
Pomona, CA 91767
Mailing address
1568 N Orange Grove
Pomona, CA 91767
Phone (909) 868-6666
Other names 1
- Pomona Mission Medical Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518480000000",
"number": "1285739979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1568 N ORANGE GROVE",
"city": "POMONA",
"state": "CA",
"postal_code": "91767",
"telephone_number": "909-868-6666",
"fax_number": "909-868-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 N ORANGE GROVE",
"city": "POMONA",
"state": "CA",
"postal_code": "91767",
"telephone_number": "909-868-6666",
"fax_number": "909-868-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICARDO DI SARLI MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2018-02-13",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "909-868-6666",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pomona Mission Medical Clinic",
"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 Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.