Avella Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A84970 Issued in CA

Legal business name

AVELLA MEDICAL CORPORATION

Practice address

255 E Bonita Ave BLDG 3B
Pomona, CA 91767-1923

Phone

(909) 985-2112

Fax

(909) 985-3411

NPI assigned

Mar 19, 2009

Last updated

Mar 19, 2009By 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

Ada A. Hernandez, M.D.

Title

President

Phone

(909) 985-2112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1467693507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917110148",
            "telephone_number": "909-985-2112",
            "fax_number": "909-985-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE BLDG 3B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-985-2112",
            "fax_number": "909-985-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVELLA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-985-2112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A84970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Avalos
• Nayely Avalos
• August Avantaggio
• Ceasar Kirk Avelar
• Patricia Anabel Avelar, MD
• Kevin Avellaneda
• Peyton Avery
• Ernest Avila
• Frances Avila
• Samantha Avila

• Anesthesiology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.