Pomona Valley Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

950000023 Issued in CA

Legal business name

POMONA VALLEY REHABILITATION CENTER LLC

Practice address

250 W Artesia St
Pomona, CA 91768-1807

Phone

(909) 623-7100

Fax

(909) 620-7787

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Crystal Solorzano

Title

Managing Member

Phone

(626) 658-7344

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1578096442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W ARTESIA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681807",
            "telephone_number": "909-623-7100",
            "fax_number": "909-620-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W ARTESIA ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681807",
            "telephone_number": "909-623-7100",
            "fax_number": "909-620-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA VALLEY REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "626-658-7344"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "950000023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70080G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06431K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pomona Valley Imaging Group
• Pomona Valley Imaging Medical Group Inc
• Pomona Valley Neonatology Medical Group
• Pomona Valley Optometry Inc
• Pomona Valley Podiatry Group Inc
• Pomona Valley Specialty Surgery Center, LLC
• Jesse Glenn Pompa
• Doreen Pon, PHARMD
• Brendyn Ponce
• Joseph Thomas Ponce Jr., P.T., O.C.S.

• Skilled Nursing Facility in Pomona, CA
• Providers in Pomona, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.