Organization Active NPI

Hygeia Medical Group, Inc.

  • Internal Medicine Physician
  • Pomona, CA
National Provider Identifier
1477509974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76587 Issued in CA
Legal business name
HYGEIA MEDICAL GROUP, INC.
Practice address
1900 Royalty Dr
Suite 205
Pomona, CA 91767-3032
Phone
(909) 623-1266
Fax
(909) 623-3911
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Victor L Pappoe, MDNPI 1396781969
Title
President/MD
Phone
(909) 623-1266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A76587 CA Primary

Addresses

Primary practice location

1900 Royalty Dr
Suite 205
Pomona, CA 91767-3032

Mailing address

PO Box 1319
Salida, CA 95368-1319
Phone (209) 543-6279

Other identifiers 1

IdentifierTypeStateIssuer
A76587OtherCALICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477509974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1319",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "953681319",
            "telephone_number": "209-543-6279",
            "fax_number": "209-543-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR",
            "address_2": "SUITE 205",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673032",
            "telephone_number": "909-623-1266",
            "fax_number": "909-623-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGEIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAPPOE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "909-623-1266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A76587",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.