Daisy Ruth Pomilia

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

370069MN Issued in CA

Practice address

6154 Mission Gorge Rd
120
San Diego, CA 92120-3493

Phone

(619) 285-1718

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Harmony West

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1699053645
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1770756546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 K AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505908",
            "telephone_number": "619-474-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6154 MISSION GORGE RD",
            "address_2": "120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203493",
            "telephone_number": "619-285-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMILIA",
        "first_name": "DAISY",
        "middle_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "370069MN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37AL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Pomella, CRNA
• Michael Lucius Pomerantz, MD
• Rachel Alysun Pomerantz, DPT
• Michelle Pomeroy
• Maria Cristina P Pomier
• Vanessa Lee Pompeo
• Dania Pompey
• Alejandro Ponce
• Anecita Ponce, RN
• Angie Ponce

• Substance Use Disorder Rehabilitation Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.