SOUTHERN CALIFORNIA MEDICAL CENTER, INC. (NPI# 1821625872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821625872 |
Entity Type | Organization |
Organization Name | SOUTHERN CALIFORNIA MEDICAL CENTER, INC. |
Practice Address |
502 W Holt Ave Pomona CA 91768-3604 |
Practice Telephone | 9096208500 |
Practice Fax Number | 9096205799 |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-03-27 |
Authorized Official Name | SHIELA BUSHERI (CEO) |
Authorized Official Telephone | 8185823189 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225357114 | Southern California Medical Center, Inc. | Clinic/Center | 12100 Valley Blvd Ste 109a, El Monte, CA 91732-3100 | 2010-05-18 |
1447865415 | Southern California Medical Center, Inc. | Clinic/Center | 1627 E Anaheim St, Long Beach, CA 90813-3809 | 2020-09-15 |
1255729661 | Southern California Medical Center, Inc. | Clinic/Center | 14550 Haynes St, Van Nuys, CA 91411-1613 | 2015-01-07 |
1932428828 | Southern California Medical Center, Inc. | Clinic/Center | 8825 Whittier Blvd, Pico Rivera, CA 90660-2600 | 2010-05-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SOUTHERN CALIFORNIA MEDICAL CENTER, INC. | 14550 Haynes Street, Van Nuys, CA 91411-1613 |
Street Address |
502 W HOLT AVE |
City | POMONA |
State | CA |
Zip Code | 91768-3604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619114899 | Pooyandeh Chiropractic, Inc. | Clinic/Center | 502 W Holt Ave, Pomona, CA 91768-3604 | 2009-01-09 |
1457620213 | Ronald R Trotman Sr. | Physical Medicine & Rehabilitation | 502 W Holt Ave, Pomona, CA 91768-3604 | 2011-12-23 |
1174807424 | Rite Medical Clinic Inc | Chiropractor | 502 W Holt Ave, Pomona, CA 91768-3604 | 2011-10-05 |
1073845376 | Angel Physical Therapy Inc. | Clinic/Center | 502 W Holt Ave, Pomona, CA 91768-3604 | 2010-02-11 |
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 | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356763155 | Unicare Community Health Center, Inc. | Clinic/Center | 1501 E Holt Ave Ste A, Pomona, CA 91767-5823 | 2014-01-13 |
1205187366 | Heart Care and Rehabilitation Center | Clinic/Center | 319 S Park Ave Ste D, Pomona, CA 91766-1503 | 2012-09-28 |
1710076997 | Planned Parenthood Los Angeles Pomona | Clinic/Center | 1550 N Garey Ave, Pomona, CA 91767-3826 | 2006-10-12 |
1669588893 | East Valley Community Health Center | Clinic/Center | 680 Fairplex Dr, Pomona, CA 91768-1100 | 2006-08-21 |
1417211426 | Pomona Community Health Center | Clinic/Center | 1450 E Holt Ave, Pomona, CA 91767-5822 | 2012-06-25 |
1326314147 | Pro-health Community Care | Clinic/Center | 722 N Garey Ave, Pomona, CA 91767-4614 | 2012-03-27 |
1497063192 | Mission City Community Network, Inc. | Clinic/Center | 1818 N Orange Grove Ave, #205, Pomona, CA 91767-3028 | 2010-09-16 |
1538486741 | Pomona Community Health Center | Clinic/Center | 750 S Park Ave, Pomona, CA 91766-3129 | 2010-04-27 |
1598996506 | Mission City Community Network, Inc. | Clinic/Center | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2009-08-07 |
1710034103 | Nationwide Medical Group, Inc | Clinic/Center | 1050 N Garey Ave, Pomona, CA 91767-3802 | 2007-01-05 |
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.