Active NPI
William Joseph Clabaugh, SUDCC#7266
- Case Manager/Care Coordinator
- Pomona, CA
National Provider Identifier
1437528833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 831 E Arrow Hwy
Pomona, CA 91767-2535 - Phone
- (909) 398-4383
- NPI assigned
- Sep 16, 2015
- Last updated
- Dec 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
830 S Azusa Ave
45
Azusa, CA 91702-5502
Phone (626) 343-1459
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | wclabaugh@prototypes.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1437528833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 S AZUSA AVE",
"address_2": "45",
"city": "AZUSA",
"state": "CA",
"postal_code": "917025502",
"telephone_number": "626-343-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-398-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLABAUGH",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "SUDCC#7266",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "wclabaugh@prototypes.org",
"affiliation": "N",
"address_1": "831 E Arrow Hwy",
"city": "Pomona",
"state": "CA",
"country_code": "US",
"postal_code": "917672535",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pomona, CA
- Joel Anfone Cipres, PHYSICAL THERAPIST
- Elizabeth Preston Cisneros, PH.D.
- Irvin Cisneros
- Isabella Cisneros
- Ivette Cisneros
- Claremont Community Care Clinic
- Claremont Foothills Health Associates LLC (Claremont Care Center)
- Claremont Imaging Associates, a Medical Corporation
- Caroline Clark, BT
- Lisa Clark
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.