PETER LAM THOAI PHUC, MD, INC. (NPI# 1376571216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376571216 |
| Entity Type | Organization |
| Organization Name | PETER LAM THOAI PHUC, MD, INC. |
| Other Organization Name | GREATER POMONA MEDICAL & REHAB CENTER |
| Practice Address |
1184 E Holt Ave Pomona CA 91767-5833 |
| Mailing Address |
2728 E 1st St Long Beach CA 90803-2512 |
| Practice Telephone | 9098651946 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PETER (PHUC) THOAI LAM (CEO) |
| Authorized Official Telephone | 7142098319 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
OPT10558 | CA | Eye and Vision Services Providers |
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A88219 | CA | Allopathic & Osteopathic Physicians |
| X | 225100000X | Physical Therapist | PT28250 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Greater Pomona Medical & Rehab Center | Doing Business As Name - Organization |
| Street Address |
1184 E HOLT AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-5833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700808623 | Allen Hai Bui | Chiropractor | 1184 E Holt Ave, Pomona, CA 91767 | 2006-07-24 |
| 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 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972918035 | Serena Sukhija | Optometrist | 795 E 2nd St Ste 2, Pomona, CA 91766-2007 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
| 1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
| 1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
| 1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
| 1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
| 1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
| 1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
| 1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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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.