Organization Active NPI

Pro Angels Inc

  • Community Based Hospice Care Agency
  • Pomona, CA
National Provider Identifier
1508419029
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRO ANGELS INC
Practice address
401 S Main St Ste 103
Pomona, CA 91766-1638
Phone
(909) 707-6158
Fax
(909) 707-6168
NPI assigned
Jul 23, 2019
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Maria Theresa Jondonero
Title
Administrator
Phone
(909) 707-6158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

401 S Main St Ste 103
Pomona, CA 91766-1638

Mailing address

401 S Main St Ste 103
Pomona, CA 91766-1638
Phone (909) 707-6158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208002556 CA Part A Provider - Hospice 9133519036 Practice locations: Pomona, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508419029. Details of each certification follow.

Hospice certification: CCN B41556

Legal name
PRO ANGELS, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 11, 2022
Last certification
Mar 11, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
401 S Main St
Ste 103
Pomona, CA 91766-1638

Care Compare: Hospice

Medicare Care Compare
Listed as
Pro Angels, IncCCN B41556 · All quality measures
Certified
Mar 11, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2305652Pro Angels Inc401 S Main St Suite 103, Pomona, CA 91766Certificate of waiverJun 3, 2028

National Provider Directory

National Provider Directory

Locations

401 S Main St
Ste 103
Pomona, CA 91766
Phone (909) 707-6158

14545 Friar St
Ste 101
Van Nuys, CA 91411
Phone (310) 986-5500

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Irene Geslani Bingcang Individual 5% Or Greater Direct Ownership Interest Dec 8, 2022 33.33%
Corporate OfficerCeo Dec 8, 2022 33.33%
Corporate DirectorCeo Dec 8, 2022 33.33%
W-2 Managing EmployeeDirector of Patient Care Services Dec 8, 2022 33%
Khai Q Tran Individual Contracted Managing EmployeeMD; Mar 22, 2023
Maria Virginia G Gonzales Individual 5% Or Greater Direct Ownership InterestSecretary Dec 8, 2022 33.33%
Corporate OfficerSecretary Dec 8, 2022 33.33%
Corporate DirectorSecretary Dec 8, 2022 33.33%
Maria Theresa Jondonero Individual 5% Or Greater Direct Ownership Interest Dec 8, 2022 34%
Corporate OfficerCfo Dec 8, 2022 34%
Corporate DirectorCfo Dec 8, 2022 34%
W-2 Managing EmployeeAd; Dec 8, 2022 34%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1508419029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE 103",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661638",
            "telephone_number": "909-707-6158",
            "fax_number": "909-707-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST STE 103",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661638",
            "telephone_number": "909-707-6158",
            "fax_number": "909-707-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO ANGELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "JONDONERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-707-6158"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.