St John Community Health Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ST JOHN COMMUNITY HEALTH CENTER

Practice address

2112 S Garey Ave Ste C
Pomona, CA 91766-5600

Phone

(909) 464-0520

Fax

(909) 464-0523

NPI assigned

May 21, 2019

Organization subpart

No

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

Authorized official

Name

Valerie Ann Franco

Title

Cfo

Phone

(909) 464-0520

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1962069393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 S GAREY AVE STE C",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665600",
            "telephone_number": "909-464-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 S GAREY AVE STE C",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917665600",
            "telephone_number": "909-464-0520",
            "fax_number": "909-464-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-464-0520"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sundararajan Srikanth, M.D.
• Pallavi Sripathi
• Aditya Kumar Sriram
• Amay Srivastava
• Ananta Srivastava
• St Moises Dental
• Tyler Scot St. Clair
• St. Joseph Health System Home Care Services LLC
• St. Joseph-Christopher Aquinas Detox Center
• St. Luke University

• Community Health Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.