HILLSIDES (NPI# 1700270188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700270188 |
| Entity Type | Organization |
| Organization Name | HILLSIDES |
| Other Organization Name | HILLSIDES FRC POMONA |
| Practice Address |
1902 Royalty Dr Ste 240&260 Pomona CA 91767-3061 |
| Practice Telephone | 9096223200 |
| Practice Fax Number | 3239781263 |
| Mailing Telephone | 9096223200 |
| Mailing Fax Number | 3239781263 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | MARISOL LARA (QA COORDINATOR) |
| Authorized Official Telephone | 3235432800 |
| Is Organization Subpart | Y |
| Parent Organization Name | HILLSIDES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Hillsides FRC Pomona | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 435 W Mission Blvd, Suite 201, Pomona, CA 917661601 | 9096223200 | 9098658355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289801 | Hillsides | Clinic/Center | 1020 E Palmdale Blvd Ste 200a, Palmdale, CA 93550-4756 | 2019-08-09 |
| 1477023265 | Hillsides | Clinic/Center | 456 E. Orange Grove Blvd, Suite 140, Pasadena, CA 91104-5235 | 2018-12-05 |
| 1972047165 | Hillsides | Clinic/Center | 5400 E. Olympic Blvd Suite 100, Commerce, CA 90022-5190 | 2016-12-07 |
| 1619217841 | Hillsides | Community/Behavioral Health | 815 Colorado Blvd, 3rd Floor, Los Angeles, CA 90041-1720 | 2013-02-25 |
| 1508983776 | Hillsides | Clinic/Center | 149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 | 2007-03-23 |
| 1902920176 | Hillsides | Clinic/Center | 149 Pasadena Ave, South Pasadena, CA 91030-2947 | 2007-03-16 |
| 1083158810 | Hillsides | Clinic/Center | 50 E Foothill Blvd Ste 300, Arcadia, CA 91006-2314 | 2016-12-13 |
| 1639613821 | Hillsides | Community Based Residential Treatment Facility, Mental Illness | 940 Avenue 64, Pasadena, CA 91105-2711 | 2016-12-07 |
| 1700126687 | Hillsides | Clinic/Center | 13001 Ramona Blvd, Suite A., Irwindale, CA 91706-3752 | 2013-02-28 |
| 1750415162 | Hillsides | Community/Behavioral Health | 940 Avenue 64, Pasadena, CA 91105-2711 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HILLSIDES | 940 Avenue 64, Pasadena, CA 91105-2711 |
| Street Address |
1902 ROYALTY DR STE 240&260 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718566 | Lizette Krystal Alvarez | Rehabilitation Practitioner | 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3030 | 2020-07-29 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653262 | Fernando Iniguez | Community/Behavioral Health | 404 W Alvarado St, Pomona, CA 91768-3015 | 2020-09-08 |
| 1972124378 | Rosa Guadalupe Garcia | Community/Behavioral Health | 1890 N Garey Ave Ste C, Pomona, CA 91767-2923 | 2020-04-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1720404239 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 942 Barbara Ln, Pomona, CA 91767 | 2014-03-07 |
| 1801235973 | Medi-cure Health Services, Inc. | Community/Behavioral Health | 1444 E Holt Ave, Pomona, CA 91767-5865 | 2013-06-21 |
| 1073952149 | Medi-cure Health Services, Inc | Community/Behavioral Health | 1460 E Holt Ave # 430, Pomona, CA 91767-5856 | 2013-06-21 |
| 1427497593 | Medi-cure Health Seervices, Inc. | Community/Behavioral Health | 1460 E Holt Ave Ste 6, Pomona, CA 91767-5835 | 2013-06-21 |
| 1346594405 | Angie Wellness & Recovery Center | Community/Behavioral Health | 637 N Park Ave, Pomona, CA 91768-3669 | 2012-10-28 |
| 1639476484 | Pomona Alcohol & Drug Recovery Center | Community/Behavioral Health | 475 Bangor St, Pomona, CA 91767-2443 | 2011-02-14 |
| 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.