Individual provider Active NPI

William Joseph Clabaugh, SUDCC#7266

  • Case Manager/Care Coordinator
  • Pomona, CA
National Provider Identifier
1437528833
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone
(909) 398-4383
NPI assigned
Sep 16, 2015
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

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.

Verify at the official NPI Registry.