Active NPI
Jocelyn M Tomista, PA
- Physician Assistant
- Pomona, CA
National Provider Identifier
1962512079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18514
- Practice address
- 790 E Bonita Ave
2ND Floor
Pomona, CA 91767-1906 - Phone
- (909) 447-8585
- Fax
- (909) 447-8593
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18514 | CA | Primary |
Addresses
Primary practice location
790 E Bonita Ave
2ND Floor
Pomona, CA 91767-1906
Mailing address
840 Towne Center Dr
Pomona, CA 91767
Phone (909) 398-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18514 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients |
Locations
1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
Interoperability endpoints
- casacolina@direct.casacolina.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Rancho Cucamonga, CA
- NPI 1417130881
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962512079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DR",
"city": "POMONA",
"state": "CA",
"postal_code": "91767",
"telephone_number": "909-398-1550",
"fax_number": "909-398-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E BONITA AVE",
"address_2": "2ND FLOOR",
"city": "POMONA",
"state": "CA",
"postal_code": "917671906",
"telephone_number": "909-447-8585",
"fax_number": "909-447-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMISTA",
"first_name": "JOCELYN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18514",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.