Organization Active NPI

Kennedy Austin Foundation

  • Case Management Agency
  • Pomona, CA
National Provider Identifier
1841168424
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KENNEDY AUSTIN FOUNDATION
Practice address
2040 N Garey Ave
Pomona, CA 91767-2722
Phone
(909) 808-6866
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Ethel M Gardner
Title
C.E.O
Phone
(951) 475-0742

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

2040 N Garey Ave
Pomona, CA 91767-2722

Mailing address

PO Box 1013
Pomona, CA 91769-1013
Phone (951) 475-0742

National Provider Directory

National Provider Directory

Locations

2040 N Garey Ave
Pomona, CA 91767
Phone (909) 288-2603

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1841168424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917691013",
            "telephone_number": "951-475-0742",
            "fax_number": "951-475-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672722",
            "telephone_number": "909-808-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY AUSTIN FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "951-475-0742"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 10, 2026; 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.