Pomona Dialysis Center, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

POMONA DIALYSIS CENTER, INC.

Practice address

255 E Bonita Ave
BLDG 1, Suite 200a
Pomona, CA 91767-1923

Phone

(909) 542-2900

Fax

(909) 592-6000

NPI assigned

Mar 15, 2016

Last updated

Mar 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Micheal Bien, M.D.

Title

Board Member

Phone

(909) 542-2900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pomona Dialysis Center, Inc.CCN 552837

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jun 15, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

25

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Hien Bien, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1689680654
  NPD
• Syed Arif Ali Rizvi, M.D.

  • Specialist
  • San Dimas, CA
  • NPI 1659395754
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Hien Bien, M.D.

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1689680654

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1982065108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS ST STE 207",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733539",
            "telephone_number": "909-542-2900",
            "fax_number": "909-592-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE",
            "address_2": "BLDG 1, SUITE 200A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-542-2900",
            "fax_number": "909-592-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMONA DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "BIEN",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "909-542-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pomona Community Health Center (ParkTree Community Health Center)
• Pomona Community Health Center (Parktree Community Health Center)
• Pomona Community Health Center (Parktree Community Health Center)
• Pomona Community Health Center (Parktree Community Health Center)
• Pomona del Sol Adhc
• Pomona Family Dental David a Choi DDS a Dental Corporation
• Pomona Family Dental Practice
• Pomona Health Inc
• Pomona Healthcare & Wellness Center, LLC (Park Avenue Healthcare & Wellness Center)
• Pomona Medical Supply, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.