Active NPI
Abdul Rahman Kublan, MD
- Obstetrics & Gynecology Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A173426
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A173426 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Abdul Kublan MD Inc | Family Medicine | Current | Accepting new patients |
| Bao Cong Tran MD Inc | Past | Accepting new patients |
Locations
175 W La Verne Ave
Ste D
Pomona, CA 91767
Phone (909) 464-0009
Interoperability endpoints
- 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.
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
-
- Internal Medicine Physician
- Pomona, CA
- NPI 1184809329
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.