NPIMap

Organization Active NPI

Pomona Alcohol & Drug Recovery Center, Inc

  • Community/Behavioral Health Agency
  • Pomona, CA
National Provider Identifier
1356485544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190234AN Issued in CA
Legal business name
POMONA ALCOHOL & DRUG RECOVERY CENTER, INC
Practice address
558 N Towne Ave
Pomona, CA 91767-4826
Phone
(909) 622-2273
Fax
(909) 622-6334
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tim O Ejindu
Title
Executive Director
Phone
(909) 622-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190234AN CA Primary

Addresses

Primary practice location

558 N Towne Ave
Pomona, CA 91767-4826

Mailing address

558 N Towne Ave
Pomona, CA 91767-4826
Phone (909) 622-2273

National Provider Directory

National Provider Directory
Tax ID family
Pomona Alcohol Drug Recovery Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

558 N Towne Ave
Pomona, CA 91767

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356485544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674826",
            "telephone_number": "909-622-2273",
            "fax_number": "909-622-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674826",
            "telephone_number": "909-622-2273",
            "fax_number": "909-622-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA ALCOHOL & DRUG RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EJINDU",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-622-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190234AN",
            "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 22, 2020; 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.