Active NPI
Kennedy Austin Foundation
- Case Management Agency
- Pomona, CA
National Provider Identifier
1841168424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.