Individual provider Active NPI

Abdul Rahman Kublan, MD

  • Obstetrics & Gynecology Physician
  • Pomona, CA
National Provider Identifier
1396242186
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A173426 Issued in CA
Practice address
175 W la Verne Ave Ste D
Pomona, CA 91767-2347
Phone
(909) 464-0009
Fax
(909) 464-0010
NPI assigned
Apr 9, 2018
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A173426 CA
Obstetrics & Gynecology Physician 207V00000X A173426 CA Primary
Obstetrics & Gynecology Physician 207V00000X 0101276678 VA

Addresses

Primary practice location

175 W la Verne Ave Ste D
Pomona, CA 91767-2347

Mailing address

175 W la Verne Ave Ste D
Pomona, CA 91767-2347
Phone (909) 464-0009

Other practice location 1

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone (909) 469-9494

Other practice location 2

1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4196

Other practice location 3

16000 Johnston Memorial Dr Ste 200
Abingdon, VA 24211-7664
Phone (276) 628-4335

Other practice location 4

600 Main St
Soledad, CA 93960-2533
Phone (831) 678-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926003132 CA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 0941618987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 W la Verne Ave
Suite D
Pomona, CA 91767-2347
Phone (909) 464-0009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A173426CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Abdul Kublan MD Inc Family Medicine CurrentSince Feb 15, 2025 Accepting new patients
Bao Cong Tran MD Inc PastSince Feb 15, 2025 Accepting new patients

Locations

175 W La Verne Ave
Ste D
Pomona, CA 91767
Phone (909) 464-0009

Interoperability endpoints

  • Direct secure messaging: serenity.abdulkublan@161228.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1396242186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W LA VERNE AVE STE D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672347",
            "telephone_number": "909-464-0009",
            "fax_number": "909-464-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W LA VERNE AVE STE D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672347",
            "telephone_number": "909-464-0009",
            "fax_number": "909-464-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 N Orange Grove Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "909-469-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Constitution Blvd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063100",
            "country_code": "US",
            "telephone_number": "831-755-4196",
            "fax_number": "831-751-3067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Main St",
            "address_purpose": "LOCATION",
            "city": "Soledad",
            "state": "CA",
            "postal_code": "939602533",
            "country_code": "US",
            "telephone_number": "831-678-2665",
            "fax_number": "831-678-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBLAN",
        "first_name": "ABDUL",
        "middle_name": "RAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A173426",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A173426",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101276678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.