Active NPI
Mindy Ann Chilman, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 20A21851
- Practice address
- 795 E 2ND St Ste 5
Pomona, CA 91766-2007 - Phone
- (909) 865-2565
- Fax
- (909) 865-2955
- NPI assigned
- May 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 20A21851 | CA | Primary |
Addresses
Primary practice location
795 E 2ND St Ste 5
Pomona, CA 91766-2007
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 884-2976
Other names 1
- Mindy Ann Chilman McComb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- College of Osteo Med of the Pacific at Pomona, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
795 E 2ND St
Pomona, CA 91766-2007
Phone (909) 469-8673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A21851 | CA | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan State University | Internal Medicine | Current | Accepting new patients |
| Western University of Health Sciences | Current | Accepting new patients | |
| Care Free Medical, Inc | Current | Accepting new patients | |
| Western University of Health Sciences | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Western University of Health Sciences | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| Care Free Medical, Inc | Past | Accepting new patients |
Locations
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877
795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673
8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950
4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
804 Service Rd
Ste A109F
East Lansing, MI 48824
1100 W Saginaw St
Ste 5
Lansing, MI 48915
Phone (517) 887-5922
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1115 S Pennsylvania Ave
Ste 101
Lansing, MI 48912
Phone (517) 346-4700
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba WesternU Health
- Family Medicine Physician
- Pomona, CA
- NPI 1679515217
Neuromusculoskeletal Medicine & Omm
-
- Family Medicine Physician
- East Lansing, MI
- NPI 1861443269
Internal Medicine
-
dba Western University Pharmacy
- Pharmacy
- Pomona, CA
- NPI 1295051779
-
dba Michigan State University Extension
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Pediatric Hematology & Oncology Physician
- Lansing, MI
- NPI 1205880333
-
- Federally Qualified Health Center (FQHC)
- Lansing, MI
- NPI 1700607405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1366888448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-884-2976",
"fax_number": "517-432-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E 2ND ST STE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILMAN",
"first_name": "MINDY",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CA",
"license": "20A21851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "CHILMAN MCCOMB",
"middle_name": "ANN",
"credential": "DO",
"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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.