Active NPI
Jon Aaron Haywood Sr., BA, MS
- Marriage & Family Therapist
- Pomona, CA
National Provider Identifier
1972938918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1050 N Garey Ave
Pomona, CA 91767-3802 - Phone
- (909) 623-6391
- NPI assigned
- Sep 10, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1050 N Garey Ave
Pomona, CA 91767-3802
Mailing address
850 E Foothill Blvd
Rialto, CA 92376-5230
Phone (909) 421-9479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584662400000",
"number": "1972938918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765230",
"telephone_number": "909-421-9479",
"fax_number": "909-386-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917673802",
"telephone_number": "909-623-6391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWOOD",
"first_name": "JON",
"middle_name": "AARON",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "BA, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"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 Mar 20, 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.