ROGER DWAIN HALL


Address: 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906
Phone: 9094478585

ROGER DWAIN HALL (NPI# 1336118579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336118579
Entity Type Individual
Full Name ROGER DWAIN HALL
Credential DO
Practice Address 790 East Bonita Ave
2nd Floor
Pomona
CA 91767-1906
Mailing Address 840 Towne Center Dr
Chaparral Medical Group
Pomona
CA 91767-5900
Practice Telephone 9094478585
Practice Fax Number 9094478593
Mailing Telephone 9093981550
Mailing Fax Number 9093981573
Enumeration Date 2006-03-17
Last Update Date 2011-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 20A5507 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00AX55070 05

Other Providers ROGER HALL

NPI Name Taxonomy Address Enumeration
1427236140 Roger Lee Hall Jr. Nurse's Aide 2701 E Main St Apt 510, Richmond, VA 23223-7965 2008-02-05
1679783484 Roger Alan Hall Psychologist 37 W Bridge St Ste 205, Dublin, OH 43017-2117 2007-05-23
1548319387 Roger A Hall Dentist 375 1st St Nw, Cleveland, TN 37311-5007 2007-01-10
1932271921 Roger William Hall Optometrist 10217 19th Ave Se Ste 102, Everett, WA 98208-4266 2006-11-14
1487877858 Roger A Hall Psychologist 9501 N Capital of Texas Hwy, Ste 305, Austin, TX 78759-6606 2007-04-11
1265566145 Roger Charles Hall Family Medicine 89 Hospital St, Suite 1, Augusta, ME 04330-6651 2007-03-15
1053450734 Roger Hall Physical Therapist 7401 Osler Dr, Suite 110, Towson, MD 21204-7673 2007-02-06
1689722993 Roger V Hall Thoracic Surgery (Cardiothoracic Vascular Surgery) 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 2007-01-05
1861462855 Roger C Hall Radiology 1255 Hilyard St, Eugene, OR 97401 2006-01-24

Office Location

Street Address 790 EAST BONITA AVE
2ND FLOOR
City POMONA
State CA
Zip Code 91767-1906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609844984 Sudathi Jeereddi Family Medicine 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 2006-03-10
1851552509 Mercedes Borrayo Counselor 790 East Bonita Ave, Pomona, CA 91767 2008-06-24
1528020112 Chaparral Medical Group Inc Internal Medicine 790 East Bonita Ave, Chaparral Medical Group, Pomona, CA 91767-1906 2006-04-06
1003885302 Lisa Carrie Butler Internal Medicine 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 2006-03-17
1881662278 Geeta Jayantilal Patwa Internal Medicine 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 2006-03-10
1689642092 Miriam Liliana Schmidt-villanueva Pediatrics 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 2006-03-10
1497723803 Redemption Galang Geronimo Internal Medicine 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767-1906 2006-03-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807979 Ayed Hawatmeh Dds Inc Dentist 322 E Foothill Blvd, Pomona, CA 91767 2020-10-02
1780205302 Melanie Crystal Ramirez Counselor 845 East Arrow Hwy, Pomona, CA 91767 2020-05-05
1780249029 Jean Hang Pharmacist 775 East Foothill Blvd, Pomona, CA 91767 2019-05-02
1679043269 Christy Bloss Counselor 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 2018-11-27
1740758895 Pomona Community Health Center Dentist 1448 E Holt Avenue, Pomona, CA 91767 2018-11-07
1245749878 Continental Post Acute LLC Skilled Nursing Facility 1912 N.san Antonio, Pomona, CA 91767 2017-09-26
1083134373 Virginia Thompson Counselor 845 E. Arrow Hwy., Pomona, CA 91767 2017-06-27
1215489000 Boys Republic - Pomona Residence Community/Behavioral Health 733 N Garey Ave, Pomona, CA 91767 2016-10-27
1164870499 Karthikeyan Bhuvaneswaran Psychiatry & Neurology 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 2016-05-26
1679936777 Nex's Traditional Chinese Medicine Acupuncturist 1150 N Garey Ave, Pomona, CA 91767 2016-04-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902436827 Vladimir Zev Zelenko Md PC. Family Medicine 1540 Route 202 Ste 7, Pomona, NY 10970-2922 2020-01-20
1720514185 Irene Riley Sung Family Medicine 1770 N Orange Grove Ave Ste 201, Pomona, CA 91767-3027 2017-05-04
1205210531 Emelia Oduro Jeffrey Family Medicine 1532 San Bernardino Ave Ste A2, Pomona, CA 91767-3559 2015-07-16
1689057960 David Picella Phd Inc Family Medicine 1617 N Garey Ave, Pomona, CA 91767 2015-07-03
1487075578 Fenix Health Medical Group, Inc. Family Medicine 716 East Mission Blvd., Pomona, CA 91766 2013-12-17
1699119511 Danica Kari Lomeli Family Medicine 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 2013-04-22
1073814760 Felix Lin Family Medicine 8 Village Loop Rd Ste D, Pmb 117, Pomona, CA 91766-4870 2010-11-11
1205017035 Tuan Dai Le, M.d, A Professional Corporation Family Medicine 1151 E Holt Ave, Suite Q, Pomona, CA 91767-5813 2007-11-20
1023297934 Katty Chou Family Medicine 3801 W Temple Ave Bldg 46, Pomona, CA 91768-2557 2007-10-26
1013114420 Wilbert Timothy Tsai Family Medicine 1900 Royalty Dr Ste 250, Pomona, CA 91767-3043 2007-06-29
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Competitor

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City POMONA
Zip Code 91767

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Dataset Information

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.

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