NPIMap

Organization Active NPI

Pomona Alcohol & Drug Recovery Center

  • Adolescent and Children Mental Health Clinic/Center
  • Pomona, CA
National Provider Identifier
1467727461
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
POMONA ALCOHOL & DRUG RECOVERY CENTER
Practice address
321 W Lexington Ave
Pomona, CA 91766-5254
Phone
(909) 622-2273
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Mr. Tim Ejindu
Title
Executive Director
Phone
(909) 622-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

321 W Lexington Ave
Pomona, CA 91766-5254

Mailing address

558 N Towne Ave
Pomona, CA 91767-4826

National Provider Directory

National Provider Directory
Tax ID family
Pomona Alcohol Drug Recovery Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

321 W Lexington Ave
Pomona, CA 91766

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1467727461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917674826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W LEXINGTON AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665254",
            "telephone_number": "909-622-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA ALCOHOL & DRUG RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "EJINDU",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-622-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 9, 2012; 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.