Pomona Surgical Supply Co., Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POMONA SURGICAL SUPPLY CO., INC.

Practice address

733 E Holt Ave
Pomona, CA 91767-5627

Phone

(909) 623-4378

Fax

(909) 622-2375

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. John Helliesen

Title

Ceo

Phone

(909) 623-4378

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pomona surgical supply co. Former legal business name

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1912228362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675627",
            "telephone_number": "909-623-4378",
            "fax_number": "909-622-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675627",
            "telephone_number": "909-623-4378",
            "fax_number": "909-622-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA SURGICAL SUPPLY CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "HELLIESEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-623-4378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ31459Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pomona surgical supply co.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pomona Orthopedic & Multispecialty Medical Associates, Inc
• Pomona Professional Dental Corp
• Pomona RX Inc
• Pomona Surgical Supply Co.
• Pomona Surgical Supply Co.
• Pomona Surgical Supply Company
• Pomona Unified School District
• Pomona Valley Cardiac Surgery
• Pomona Valley Community Health Center
• Pomona Valley Hospital Medical Center

• Durable Medical Equipment & Medical Supplies in Pomona, CA
• Providers in Pomona, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.