Pomona Valley Imaging Group

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G35876 Issued in CA

Legal business name

POMONA VALLEY IMAGING GROUP

Doing business as

Pomona Valley Hospital Medical Center

Practice address

1798 N Garey Ave
Pomona, CA 91767-2918

Phone

(909) 630-7480

Fax

(909) 397-0194

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Johnson Lightfoote, M.D.NPI 1083696637

Title

President of Radiology

Phone

(909) 865-9535

Specialties & licenses 1

Addresses

Other names 1

• Pomona Valley Hospital Medical Center Doing business as

Tax ID family

Pomona Valley Hospital Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pomona Valley Imaging Medical Group Inc

  • Specialist
  • Pomona, CA
  • NPI 1982667911
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnson Benjamin Lightfoote, M.D.

  • Diagnostic Radiology Physician
  • Pomona, CA
  • NPI 1083696637
  NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568485522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 GEANIE CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096364",
            "telephone_number": "909-630-7480",
            "fax_number": "909-397-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672918",
            "telephone_number": "909-630-7480",
            "fax_number": "909-397-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA VALLEY IMAGING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOTE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT OF RADIOLOGY",
        "authorized_official_telephone_number": "909-865-9535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G35876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomona Valley Hospital Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pomona Valley Cardiac Surgery
• Pomona Valley Community Health Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Hospital Medical Center
• Pomona Valley Imaging Medical Group Inc
• Pomona Valley Neonatology Medical Group
• Pomona Valley Optometry Inc
• Pomona Valley Podiatry Group Inc
• Pomona Valley Rehabilitation Center LLC

• Diagnostic Radiology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Diagnostic Radiology Physician in California

• 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.