NPIMap

Organization Active NPI

Casa Colina Comprehensive Outpatient Rehabilitation Services

  • Adult Day Care Clinic/Center
  • Pomona, CA
National Provider Identifier
1972686863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES
Practice address
255 E Bonita Avenue
Pomona, CA 91767
Phone
(909) 596-7733
Fax
(909) 596-4943
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Felice Loverso, PHD
Title
President & Ceo
Phone
(909) 596-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

255 E Bonita Avenue
Pomona, CA 91767

Mailing address

PO Box 6001
Pomona, CA 91769-6001
Phone (909) 596-7733

Other identifiers 1

IdentifierTypeStateIssuer
ADH70014FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972686863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917696001",
            "telephone_number": "909-596-7733",
            "fax_number": "909-593-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVENUE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-596-7733",
            "fax_number": "909-596-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA COLINA COMPREHENSIVE OUTPATIENT REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVERSO",
        "authorized_official_first_name": "FELICE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "909-596-7733",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADH70014F",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.