Pool of Bethesda Children and Adult Hospital

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

Legal business name

POOL OF BETHESDA CHILDREN AND ADULT HOSPITAL

Practice address

3761 S Normandie Ave
Los Angeles, CA 90007-4256

Phone

(310) 642-8316

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Emma Viola Montilini

Title

Founder and Ceo

Phone

(310) 642-8316

Specialties & licenses 8

Addresses

Other names 1

• Pool of Bethesda General Hospital and Disease Control Research Center Former legal business name

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1487385720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 S NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900074256",
            "telephone_number": "310-642-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 S NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900074256",
            "telephone_number": "310-642-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOL OF BETHESDA CHILDREN AND ADULT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "MONTILINI",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "VIOLA",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "310-642-8316",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pool of Bethesda General Hospital and Disease Control Research Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Barbara R Ponse, PHD LMFT
• Vanessa Agno Ponsones, PMHNP-BC
• Gena Dawn Ponticelli
• Crystal Rich Pontiveros
• Marcel O. Ponton, PH.D.
• Pool of Bethesda Counseling SRVC
• Amber Rae Pool, M.A., BCBA
• Jeremy A Pool, CATC I #19131081
• Katherine Pool
• Ryan M Pool

• Chronic Disease Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chronic Disease Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.