Organization Active NPI

Indus Healthcare, Inc.

  • Family Medicine Physician
  • Pomona, CA
National Provider Identifier
1508907874
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A95984 Issued in CA
Legal business name
INDUS HEALTHCARE, INC.
Practice address
2740 N Garey Ave Ste 100
Pomona, CA 91767
Phone
(909) 623-2300
Fax
(909) 469-2472
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Dr. Amit Reenu Paliwal, MD MBA MPHNPI 1790881159
Title
Ceo
Phone
(909) 235-6770

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A95984 CA Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X A95984 CA

Addresses

Primary practice location

2740 N Garey Ave Ste 100
Pomona, CA 91767

Mailing address

2740 N Garey Ave Ste 100
Pomona, CA 91767-1800
Phone (909) 623-2300

Other practice location 1

333 N Sunset Ave
West Covina, CA 91790-1651
Phone (626) 960-5461

Other practice location 2

1060 E Foothill Blvd Ste 204
Upland, CA 91786-4070
Phone (909) 985-0699

Other practice location 3

9675 Monte Vista Ave Ste B
Montclair, CA 91763-2213
Phone (909) 447-5554

Other practice location 4

1532 San Bernardino Ave
Suite A2
Pomona, CA 91767-3559
Phone (909) 623-2300

Other practice location 5

4950 San Bernardino St Ste 202
Montclair, CA 91763-2328
Phone (909) 447-5554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110810000637 CA Part B Supplier - Clinic/Group Practice 6305015215 Receives reassigned benefits from 7 practitioners
Practice locations: West Covina, CA; Pomona, CA; Montclair, CA

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
05D0861849Indus Healthcare, Inc333 N Sunset Ave, West Covina, CA 91790Certificate of waiverAug 2, 2026
05D2104502Indus Healthcare2740 N Garey Ave Ste 100, Pomona, CA 91767Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory

Locations

15944 Los Serranos Country Club Dr
#207
Chino Hills, CA 91709
Phone (909) 623-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23222/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1508907874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 N GAREY AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671800",
            "telephone_number": "909-623-2300",
            "fax_number": "909-469-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N GAREY AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-623-2300",
            "fax_number": "909-469-2472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917901651",
            "country_code": "US",
            "telephone_number": "626-960-5461",
            "fax_number": "626-962-7199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 E Foothill Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864070",
            "country_code": "US",
            "telephone_number": "909-985-0699",
            "fax_number": "909-985-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9675 Monte Vista Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632213",
            "country_code": "US",
            "telephone_number": "909-447-5554",
            "fax_number": "909-447-5582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1532 San Bernardino Ave",
            "address_2": "Suite A2",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673559",
            "country_code": "US",
            "telephone_number": "909-623-2300",
            "fax_number": "909-469-2472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 San Bernardino St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632328",
            "country_code": "US",
            "telephone_number": "909-447-5554",
            "fax_number": "909-447-5582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDUS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "PALIWAL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "REENU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-235-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A95984",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A95984",
            "primary": false
        }
    ],
    "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 Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.