Pomona Valley Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

POMONA VALLEY HOME CARE

Practice address

1109 Via Verde
San Dimas, CA 91773-4400

Phone

(909) 394-9400

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. M. Ilyas Zahoor

Title

Ceo

Phone

(909) 394-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pomona Valley Home Care, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059486

Legal name

POMONA VALLEY HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 9, 2013

Last certification

Jun 21, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 14, 2010 in CA

Enrollment address

1109 Via Verde
San Dimas, CA 91773-4400

Listed as

Pomona Valley Home Care, IncCCN 059486

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Feb 9, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sadiq Mandilawi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • La Verne, CA
  • NPI 1295716736

  Home health agency

  Care Compare affiliation
• Nikita M Maniar, MD

  • Neurology Physician
  • Pasadena, CA
  • NPI 1225547722

  Home health agency

  Care Compare affiliation
• Asif Siddiq, M.D.

  • Family Medicine Physician
  • La Verne, CA
  • NPI 1467763078

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1386964740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734400",
            "telephone_number": "909-394-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734400",
            "telephone_number": "909-394-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA VALLEY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "ZAHOOR",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "ILYAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-394-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomona Valley Home Care, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Ashlee Pinkerton, LMFT
• Jana Lynn Plant, M.A.
• Podiatry Group South a Proffessional Podiatry Corporation
• Keerthi Poladi
• Melannie Polidano
• Positive Behavior Steps Corp
• Sahar Pourtaheri
• Chara Powell
• Premier Care of Northern California
• Issell Preston Garcia

• Home Health Agency in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.