Neodoc Apmc

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

NEODOC APMC

Practice address

1798 North Garey Ave
Pomona Valley Hospital Medical Center
Pomona, CA 91767

Phone

(909) 639-7436

Fax

(626) 371-0480

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj N Mistry, M.D.

Title

President, Ceo

Phone

(626) 482-5478

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NeoDoc Other name

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1306033352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4838",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917910838",
            "telephone_number": "626-482-5478",
            "fax_number": "626-371-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 NORTH GAREY AVE",
            "address_2": "POMONA VALLEY HOSPITAL MEDICAL CENTER",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-639-7436",
            "fax_number": "626-371-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEODOC APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "626-482-5478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0090280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeoDoc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandria Lacsina Nelson
• Myles Andrew Nelson
• Nieja Nelson
• Tunisia Nelson
• Neo-Peds Medical Group, Inc.
• Nephrology Associates of Inland Empire
• Arvin Ner, DPT
• Brittney Neri
• Hannah Nesheiwat
• Sarah L Neugebauer

• Neonatal-Perinatal Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Neonatal-Perinatal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.