STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES (NPI# 1093085565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093085565 |
| Entity Type | Organization |
| Organization Name | STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES |
| Other Organization Name | LANTERMAN COMMUNITY CLINIC |
| Practice Address |
3530 W Pomona Blvd Pomona CA 91768-3238 |
| Mailing Address |
1600 9th St Ste 205 Ms 2-3 Sacramento CA 95814-6435 |
| Practice Telephone | 9094447000 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166534587 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-01-17 |
| Authorized Official Name | MR. MARK HUTCHINSON (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9166541897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lanterman Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730130071 | State of California - Department of Developmental Services | General Acute Care Hospital | 3500 Zanker Rd, San Jose, CA 95134-2201 | 2006-05-12 |
| 1730130097 | State of California - Department of Developmental Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69696 Ramon Rd, Cathedral City, CA 92234-3353 | 2006-05-12 |
| 1841241130 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 1251 Stabler Ln, Yuba City, CA 95993-2616 | 2006-05-12 |
| 1225089592 | State of California - Department of Developmental Services | Long Term Care Hospital | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-05-12 |
| 1588615835 | State of California - Department of Developmental Services | Long Term Care Hospital | 26501 Avenue 140, Porterville, CA 93257-9109 | 2006-05-12 |
| 1154372498 | State of California - Department of Developmental Services | Nursing Facility/Intermediate Care Facility | 3530 Pomona Blvd, Pomona, CA 91768-3238 | 2006-05-12 |
| 1982990206 | State of California - Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | 26501 Avenue 140, Porterville, CA 93257-9109 | 2011-06-24 |
| 1851344220 | State of California - Department of Developmental Services | Long Term Care Hospital | 15000 Arnold Drive, Eldridge, CA 95431-1493 | 2006-05-18 |
| Street Address |
3530 W POMONA BLVD |
| City | POMONA |
| State | CA |
| Zip Code | 91768-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801842810 | Rachel Elizabeth Firemark | Psychologist | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-05-25 |
| 1922028240 | Yash P Manchanda | Psychologist | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-07-20 |
| 1831119155 | Joyce Jung Hong | Pediatrics | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-07-20 |
| 1942247192 | Anh Cong Nguyen | Internal Medicine | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-05-31 |
| 1043257298 | Lotfy Ragheb Hanna | Internal Medicine | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-05-31 |
| 1326095266 | Charles Jeng | General Practice | 3530 W Pomona Blvd, Pomona, CA 91769-0100 | 2006-05-27 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193320 | East Valley Community Health Center, Inc. | Clinic/Center | 1400 E Mission Blvd, Pomona, CA 91766-2229 | 2020-04-23 |
| 1972844272 | East Valley Community Health Center, Inc. | Clinic/Center | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2013-03-12 |
| 1700902251 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-03-22 |
| 1619093168 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-03-22 |
| 1649324443 | East Valley Community Health Center, Inc. | Clinic/Center | 1555 S Garey Ave, Pomona, CA 91766-5222 | 2007-01-22 |
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|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1821697483 | North East Medical Services | Clinic/Center | 2633 San Bruno Ave, San Francisco, CA 94134-1597 | 2020-10-23 |
| 1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES.
| 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.