Organization Active NPI

Casa Colina Hospital and Centers for Healthcare

  • Rehabilitation Hospital
  • Pomona, CA
National Provider Identifier
1821075870
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
930000026 Issued in CA
Legal business name
CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE
Practice address
255 E Bonita Ave
Pomona, CA 91767-1923
Phone
(909) 596-7733
Fax
(909) 593-9417
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Felice L Loverso, PH D
Title
President Ceo
Phone
(909) 596-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 930000026 CA Primary

Addresses

Primary practice location

255 E Bonita Ave
Pomona, CA 91767-1923

Mailing address

PO Box 6001
Pomona, CA 91769-6001
Phone (909) 596-7733

Other identifiers 2

IdentifierTypeStateIssuer
HSC32019FMedicaidCA
ZZT42019FOtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050315000417 CA Part A Provider - Hospital 3173578994 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pomona, CA
O20150914002043 CA Part B Supplier - Clinic/Group Practice 0648587394 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pomona, CA; Upland, CA

Hospital certification: CCN 050782

Legal name
CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 2016
Last certification
Sep 28, 2023
Beds
99
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1966 in CA
Enrollment address
255 E Bonita Ave
Pomona, CA 91767-1923
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Casa Colina HospitalCCN 050782
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

1060 E Foothill Blvd
Ste 201
Upland, CA 91786
Phone (909) 561-5577

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David V Morony Individual Corporate OfficerCfo Aug 17, 2015
Terrance Johnson Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Randy Blackman Individual Corporate OfficerChairman Apr 1, 2020 100%
Gary Cripe Individual Corporate OfficerVice Chairman Apr 1, 2020 100%
Bruce Pasqua Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Thomas Reh Individual Corporate OfficerSecretary Apr 1, 2020 100%
Ris Dickson Individual Corporate DirectorBoard Member Jul 1, 2025
Cathy Watrous Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Casa Colina, Inc Organization, Pomona, CA Corporation Operational/Managerial Control Mar 5, 2005
Leslie Riley Individual Corporate DirectorBoard Member Apr 1, 2025
Steven Christopher Bast Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Steve Norin Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Kelly Linden Individual Corporate OfficerCeo & President Feb 6, 2023 100%
W-2 Managing EmployeeCeo & President Feb 6, 2023 100%
Operational/Managerial ControlCeo & President Feb 6, 2023 100%
Veronica Diaz Cutler Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Phillip Feghali Individual Corporate DirectorBoard Member Apr 1, 2020 100%
Richard Mon-Chii Young Individual Corporate DirectorBoard Member Apr 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 285

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 285

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1821075870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917696001",
            "telephone_number": "909-596-7733",
            "fax_number": "909-593-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-596-7733",
            "fax_number": "909-593-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA COLINA HOSPITAL AND CENTERS FOR HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "LOVERSO",
        "authorized_official_first_name": "FELICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "909-596-7733",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "CA",
            "license": "930000026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC32019F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "ZZT42019F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.