Pomerado Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POMERADO INC

Practice address

12696 Monte Vista Rd
Poway, CA 92064-2500

Phone

(858) 487-6242

Fax

(858) 487-4282

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Candelaria

Title

Accounts Receivable Supervisor

Phone

(909) 446-8754

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1760689731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12696 MONTE VISTA RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642500",
            "telephone_number": "858-487-6242",
            "fax_number": "858-487-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12696 MONTE VISTA RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642500",
            "telephone_number": "858-487-6242",
            "fax_number": "858-487-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMERADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "CANDELARIA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR",
        "authorized_official_telephone_number": "909-446-8754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55206H",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "555206",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon William Poelman, D.D.S.
• Lon Scott Poliner, M.D.
• Melissa Quinn Pollock, LCSW
• Madeline Polonia, PSY.D.
• Mackenzie Polu, RBT
• Pomerado Operations, LLC (Boulder Creek Post Acute)
• Leilani Pompa
• Poplar Holdings, LLC (Poway Healthcare Center)
• Emily M Porcayo-Henriquez
• Mackenzie Potts

• Skilled Nursing Facility in Poway, CA
• Providers in Poway, 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 Jul 16, 2007; 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.