Individual provider Active NPI

John Daliva, DO

  • Addiction Medicine (Internal Medicine) Physician
  • Pomona, CA
National Provider Identifier
1760836662
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
20A17362 Issued in CA
Practice address
1798 N Garey Ave
Pomona, CA 91767-2918
Phone
(909) 865-9500
NPI assigned
Apr 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A17362 CA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 20A17362 CA Primary

Addresses

Primary practice location

1798 N Garey Ave
Pomona, CA 91767-2918

Mailing address

PO Box 2698
Chino Hills, CA 91709-0090

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901002834 CA Practitioner - Internal Medicine 3476970773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospitalist Corporation of Inland EmpireGroup PAC ID 9537319231, 26 clinicians
Align Medicine IncGroup PAC ID 5092107664, 2 clinicians

Practice addresses (Care Compare)

1880 N Orange Grove Ave
Pomona, CA 91767-3006
Phone (909) 630-7158

215 W Pearl St
Pomona, CA 91768-3114
Phone (909) 227-0750

867 E 11TH St
Upland, CA 91786-4867
Phone (909) 227-0750

9620 Fremont Ave
Montclair, CA 91763-2320
Phone (909) 227-0750

Hospital & facility affiliations

  • Elite Care Home Health Services, Inc Home health agency, Los Angeles, CA, CCN 559409
  • Better Health Home Care Home health agency, West Covina, CA, CCN 057753
  • Vnacare Hospice, Ontario, CA, CCN 051535
  • Physician'S Choice Hospice LLC Hospice, West Covina, CA, CCN 921514
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Pilgrim Place Health Services Center Nursing home, Claremont, CA, CCN 055261
  • Community Extended Care Hospital Of Montclair Nursing home, Montclair, CA, CCN 056444
  • Claremont Care Center Nursing home, Pomona, CA, CCN 055394
  • Claremont Heights Post Acute Nursing home, Claremont, CA, CCN 055344
  • Villa Mesa Care Center Nursing home, Upland, CA, CCN 056136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17362CAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Align Medicine Inc Internal Medicine CurrentSince Oct 6, 2021 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jul 7, 2020 Accepting new patients

Locations

16321 Main St
Ste 130125
Chino, CA 91708

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

215 W Pearl St
Pomona, CA 91768
Phone (909) 227-0750

867 E 11th St
Upland, CA 91786
Phone (909) 227-0750

11985 4th St
Ste 102
Yucaipa, CA 92399
Phone (909) 478-7951

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23965/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.daliva.1@23965.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Extended Care Hospital of MontclairMontclair, CA, CCN 056444 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Oct 1, 2023
Oct 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1760836662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2698",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090090"
        },
        {
            "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": "909-865-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIVA",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A17362",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A17362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.