POMONA ALCOHOL & DRUG RECOVERY CENTER (NPI# 1548531064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548531064 |
Entity Type | Organization |
Organization Name | POMONA ALCOHOL & DRUG RECOVERY CENTER |
Practice Address |
558 N Towne Ave Pomona CA 91767-4826 |
Practice Telephone | 9096222273 |
Enumeration Date | 2012-01-13 |
Last Update Date | 2012-01-13 |
Authorized Official Name | TIM EJINDU (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9096222273 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184992828 | Pomona Alcohol & Drug Recovery Center | Substance Abuse Rehabilitation Facility | 1151 Fairplex Dr, Pomona, CA 91768-1247 | 2011-12-08 |
1710255450 | Pomona Alcohol & Drug Recovery Center | Substance Abuse Rehabilitation Facility | 725 W Franklin Ave, Pomona, CA 91766-5168 | 2011-12-08 |
1639476484 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 475 Bangor St, Pomona, CA 91767-2443 | 2011-02-14 |
1285931030 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 635 Lincoln Ave, Pomona, CA 91767-4041 | 2011-02-14 |
1801192844 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 1540 W 2nd St, Pomona, CA 91766-1203 | 2011-02-09 |
1073819017 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 1921 Arroyo Ave, Pomona, CA 91768-2018 | 2011-02-09 |
1063778595 | Pomona Alcohol & Drug Recovery Center | Clinic/Center | 605 N Park Ave, Pomona, CA 91768-3622 | 2012-04-10 |
1467727461 | Pomona Alcohol & Drug Recovery Center | Clinic/Center | 321 W Lexington Ave, Pomona, CA 91766-5254 | 2012-03-09 |
Street Address |
558 N TOWNE AVE |
City | POMONA |
State | CA |
Zip Code | 91767-4826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356485544 | Pomona Alcohol & Drug Recovery Center, Inc | Community/Behavioral Health | 558 N Towne Ave, Pomona, CA 91767-4826 | 2007-02-19 |
1295031334 | Naomi Alexis Salazar | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2011-02-08 |
1043514334 | Felipe Jimenez | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2011-01-01 |
1316241607 | Angel Hernandez | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2011-01-01 |
1144520842 | Giorgio Dimopoulos | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2010-10-27 |
1144532862 | Angel Alaniz | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2010-07-10 |
1205062494 | Robert Solorzano Jr. | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2009-06-02 |
1417110255 | Lydia Ventura | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2008-07-02 |
1225291065 | Rachel Ramos | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2008-07-02 |
1649431230 | Kristine Adams | Counselor | 558 N Towne Ave, Pomona, CA 91767-4826 | 2008-06-17 |
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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 Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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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.