Jonnel Wynne Pomeroy, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

269975 Issued in CA

Practice address

11370 Anderson St
Suite B800
Loma Linda, CA 92354-3450

Phone

(909) 558-4786

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366577967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29051 STONEGATE LN",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466806",
            "telephone_number": "909-863-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST",
            "address_2": "SUITE B800",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMEROY",
        "first_name": "JONNEL",
        "middle_name": "WYNNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "269975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marali Polasani, MD
• Kimberley Jo Politte, COF
• Ryan Matthew Pollard
• Mary-Frances Danielle Pollick, RN
• Maxwill Dylan Pomerantz, MD
• Cristina Joelle Ponce, MD
• Jose E Ponce
• Carlos Alberto Poni, DDS
• Arnetta M Poole
• Joseph Poole, RD

• Pediatric Nurse Practitioner in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.