NPIMap

Organization Active NPI

Pomona Alcohol & Drug Recovery Center

  • Community/Behavioral Health Agency
  • Pomona, CA
National Provider Identifier
1639476484
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POMONA ALCOHOL & DRUG RECOVERY CENTER
Practice address
475 Bangor St
Pomona, CA 91767-2443
Phone
(909) 622-2272
Fax
(909) 622-6334
NPI assigned
Feb 14, 2011
Organization subpart
Yes
Parent organization
POMONA ALCOHOL & DRUG RECOVERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Mr. Tim Ejindu
Title
Executive Director
Phone
(909) 622-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

475 Bangor St
Pomona, CA 91767-2443

Mailing address

PO Box 3936
Ontario, CA 91761-0987
Phone (909) 622-2273

National Provider Directory

National Provider Directory
Tax ID family
Pomona Alcohol Drug Recovery Center Inc11 organizations share this tax ID, including this one
Part of
Pomona Alcohol Drug Recovery Center Inc

Other organizations with this tax ID 10

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

Locations

475 Bangor St
Pomona, CA 91767
Phone (909) 622-2272

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1639476484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3936",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917610987",
            "telephone_number": "909-622-2273",
            "fax_number": "909-622-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BANGOR ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672443",
            "telephone_number": "909-622-2272",
            "fax_number": "909-622-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA ALCOHOL & DRUG RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POMONA ALCOHOL & DRUG RECOVERY CENTER",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "EJINDU",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-622-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 14, 2011; 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.