Pomona Valley Hospital Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

POMONA VALLEY HOSPITAL MEDICAL CENTER

Practice address

1798 N. Garey Ave.
Pomona, CA 91767

Phone

(909) 865-9500

Fax

(909) 620-0479

NPI assigned

Apr 28, 2006

Last updated

Mar 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juli Hester

Title

Executive Director of Finance

Phone

(909) 865-9881

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407813660. Details of each certification follow.

• CCN 050231 Hospital · Active · Details

Hospital certification: CCN 050231

Legal name

POMONA VALLEY HOSPITAL MEDICAL CENTER

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Dec 4, 2023

Beds

447 (435 certified)

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Mar 24, 1927 in CA

Enrollment address

1798 N Garey Ave
Pomona, CA 91767-2918
Other Hospital Practice Location

Hospital subgroups

General

Listed as

Pomona Valley Hospital Medical CenterCCN 050231 · All quality measures

Overall star rating

3 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

Locations

All disclosed owners & managing parties 19

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caren Li Sun

  • Speech-Language Pathologist
  • Claremont, CA
  • NPI 1003789215
  NPD (past)

Affiliated clinicians 552

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

• Basim Zuhdi Abdelkarim, MD

  • Gastroenterology Physician
  • Upland, CA
  • NPI 1932217544

  Hospital

  Care Compare affiliation
• Nathan George Abdelsayed, M.D

  • Pain Medicine Physician
  • West Covina, CA
  • NPI 1295230142

  Hospital

  Care Compare affiliation
• Diana Mohine Abdulrahman, M.D.

  • Neurology Physician
  • Pomona, CA
  • NPI 1518276880

  Hospital

  Care Compare affiliation
• Ali Abidali, DO

  • Surgery Physician
  • Glendora, CA
  • NPI 1861888794

  Hospital

  Care Compare affiliation
• Hussein Abidali, DO

  • Gastroenterology Physician
  • Rancho Cucamonga, CA
  • NPI 1205274768

  Hospital

  Care Compare affiliation
• Saman Aboudi, MD

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1831112820

  Hospital

  Care Compare affiliation
• Khader K Abounasr, MD

  • Pulmonary Disease Physician
  • Rancho Cucamonga, CA
  • NPI 1780884015

  Hospital

  Care Compare affiliation
• Anna Ayenbono Adongo, M.D.

  • Anesthesiology Physician
  • Pomona, CA
  • NPI 1497011902

  Hospital

  Care Compare affiliation
• Chandrahas Agarwal, M.D.

  • Cardiovascular Disease Physician
  • Rancho Cucamonga, CA
  • NPI 1528014172

  Hospital

  Care Compare affiliation
• Ryan Hideo Agena, MD

  • Family Medicine Physician
  • Chino Hills, CA
  • NPI 1891877395

  Hospital

  Care Compare affiliation
• Kyu D Ahn, M.D.

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1427015593

  Hospital

  Care Compare affiliation
• Abdalhamid Al Harash, M.D., FACP

  • Rheumatology Physician
  • Loma Linda, CA
  • NPI 1962790618

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1407813660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 N. GAREY AVE.",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-865-9500",
            "fax_number": "909-620-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N. GAREY AVE.",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-865-9500",
            "fax_number": "909-620-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA VALLEY HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "909-865-9881"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55502F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40231F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC30231F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050231",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZA1924Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30231F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pomona Surgical Supply Company
• Pomona Unified School District
• Pomona Valley Cardiac Surgery
• Pomona Valley Community Health Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Imaging Group (Pomona Valley Hospital Medical Center)
• Pomona Valley Imaging Medical Group Inc
• Pomona Valley Neonatology Medical Group
• Pomona Valley Optometry Inc

• General Acute Care Hospital in Pomona, CA
• Providers in Pomona, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.