Organization Active NPI

Abdul Kublan MD Inc

  • Obstetrics & Gynecology Physician
  • Pomona, CA
National Provider Identifier
1689484586
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ABDUL KUBLAN MD INC
Practice address
175 W la Verne Ave Ste D
Pomona, CA 91767-2347
Phone
(909) 464-0009
Fax
(909) 464-0010
NPI assigned
Jan 13, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Abdul Rahman Kublan, MDNPI 1396242186
Title
Physician / Owner
Phone
(909) 464-0009

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 Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

175 W la Verne Ave Ste D
Pomona, CA 91767-2347

Mailing address

175 W la Verne Ave Ste D
Pomona, CA 91767-2347
Phone (909) 464-0009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430000548 CA Part B Supplier - Clinic/Group Practice 9436675741 Receives reassigned benefits from 1 practitioner
Practice locations: Pomona, CA

National Provider Directory

National Provider Directory

Locations

175 W La Verne Ave
Ste D
Pomona, CA 91767
Phone (909) 464-0009

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1689484586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W LA VERNE AVE STE D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672347",
            "telephone_number": "909-464-0009",
            "fax_number": "909-464-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W LA VERNE AVE STE D",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672347",
            "telephone_number": "909-464-0009",
            "fax_number": "909-464-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL KUBLAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "KUBLAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "909-464-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "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 Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.