SAN GABRIEL POMONA REGIONAL CENTER (NPI# 1083834568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083834568 |
| Entity Type | Organization |
| Organization Name | SAN GABRIEL POMONA REGIONAL CENTER |
| Practice Address |
761 Corporate Center Dr Pomona CA 91768-2647 |
| Practice Telephone | 9096207722 |
| Practice Fax Number | 9096207372 |
| Mailing Telephone | 9096207722 |
| Mailing Fax Number | 9096207372 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT KEITH PENMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9096207722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
761 CORPORATE CENTER DR |
| City | POMONA |
| State | CA |
| Zip Code | 91768-2647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385971 | Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 2180 West Valley Blvd., Floor 200, Pomona, CA 91768 | 2020-08-03 |
| 1427690338 | Sharon Beatrice Moreno | Counselor | 2180 Valley Bvld, Pomona, CA 91768 | 2019-10-11 |
| 1710492087 | Freddie Lee Dominguez | Counselor | 2180 W Vally Blvd, Pomona, CA 91768 | 2017-12-08 |
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1154851913 | Maria Concepcion Galvez | Counselor | 2180 W Valley Blvd, Pomona, CA 91768 | 2017-06-14 |
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1386006864 | Evelyn Benitez | Marriage & Family Therapist | 1023 Groff St, Pomona, CA 91768 | 2016-03-24 |
| 1962891291 | Consuelo Rivera Aguilar | Speech-Language Pathologist | 651 North Main Street, Pomona, CA 91768 | 2015-01-09 |
| 1134557648 | Rodolfo Perez Jr. | Nurse Practitioner | 1196 North Park Ave, Pomona, CA 91768 | 2013-10-18 |
| 1588008361 | Medi-cure Health Services | Counselor | 1921 West Arroyo Street, Pomona, CA 91768 | 2013-04-23 |
| Find all providers in zip 91768 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689107500 | Margie Moreno Interpriting Services | Case Management | 675 North Park Avenue, Pomona, CA 91768 | 2017-04-07 |
| 1851783989 | Rosekitchen | Case Management | 8 High Mountain Rd, Pomona, NY 10970-2124 | 2015-02-26 |
| 1316296049 | Ideal Care and Health Services | Case Management | 4 Village Loop Road, Pomona, CA 91766 | 2012-09-10 |
| 1912180977 | Jasper William Jones | Case Management | 1660 W Mission Blvd, Pomona, CA 91766 | 2007-12-13 |
| 1114100369 | Dennis Rick Chormicle | Case Management | 1660 W Mission Bl, Pomona, CA 91766 | 2007-12-11 |
| 1164801643 | Prototypes | Case Management | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2015-05-29 |
| 1255651501 | Tri-city Mental Health Center | Case Management | 2008 N Garey Ave, Pomona, CA 91767-2722 | 2010-06-09 |
| 1235308719 | Brian Tsubokawa | Case Management | 1660 W Mission Blvd, Pomona, CA 91766 | 2008-02-28 |
| 1508035759 | Donna Alyse La Mothe | Case Management | 1660 W Mission Blvd, Pomona, CA 91766 | 2008-02-21 |
| 1144499393 | Carol Ann Papay | Case Management | 1660 W Mission Blvd, Pomona, CA 91766 | 2008-02-21 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.