Pvhc At Pomona | |
1770 N Orange Grove Ave Ste 101 Pomona CA 91767-3027 | |
(909) 469-9494 | |
(909) 469-2120 |
Full Name | Pvhc At Pomona |
---|---|
Speciality | Clinic/Center |
Location | 1770 N Orange Grove Ave Ste 101, Pomona, California |
Authorized Official Name and Position | Snezana Begovic (PRESIDENT) |
Authorized Official Contact | 9094699494 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pvhc At Pomona 1770 N Orange Grove Ave Ste 101 Pomona CA 91767-3027 Ph: (909) 469-9494 | Pvhc At Pomona 1770 N Orange Grove Ave Ste 101 Pomona CA 91767-3027 Ph: (909) 469-9494 |
NPI Number | 1912907114 |
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Provider Enumeration Date | 07/28/2005 |
Last Update Date | 07/15/2022 |
Medicare PECOS PAC ID | 4284547522 |
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Medicare Enrollment ID | O20031111000889 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912907114 | NPI | - | NPPES |
1912907114 | Medicaid | CA | |
GR0083730 | Medicaid | CA | |
00127095 | Other | CA | POMONA BUSINESS LICENSE |
CG8716 | Other | RAILROAD MEDICARE | |
ZZZ57392Z | Other | BLUE SHIELD OF CALIFORNIA | |
05D0931230 | Other | CA | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
Provider Name | Maria Valadez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306847124 PECOS PAC ID: 2668386020 Enrollment ID: I20031118001187 |
Provider Name | Craig Yoshio Endo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265411730 PECOS PAC ID: 7719881218 Enrollment ID: I20031203000215 |
Provider Name | Tiffany P Endo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457384257 PECOS PAC ID: 8628972122 Enrollment ID: I20031203000276 |
Provider Name | Gisella V Olivares |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821138405 PECOS PAC ID: 1951381490 Enrollment ID: I20040723000898 |
Provider Name | Carlos A Baez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225038961 PECOS PAC ID: 8426028002 Enrollment ID: I20040729001586 |
Provider Name | Teri Leinaala Yoshitake |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205847555 PECOS PAC ID: 3375501349 Enrollment ID: I20041221001043 |
Provider Name | Stefan T Reynoso |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437207404 PECOS PAC ID: 3577509959 Enrollment ID: I20050707000589 |
Provider Name | Snezana Begovic |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033135736 PECOS PAC ID: 3779501689 Enrollment ID: I20051109000765 |
Provider Name | Michael D Deanda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750381711 PECOS PAC ID: 1153336540 Enrollment ID: I20060206000935 |
Provider Name | Nancy Oakley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619902491 PECOS PAC ID: 6709984545 Enrollment ID: I20070601000542 |
Provider Name | Erik W Olsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639121015 PECOS PAC ID: 0244324580 Enrollment ID: I20070918000435 |
Provider Name | Saman Aboudi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831112820 PECOS PAC ID: 5597847681 Enrollment ID: I20080129000129 |
Provider Name | Libia Wohlert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649352675 PECOS PAC ID: 3577624634 Enrollment ID: I20081208000269 |
Provider Name | Ryan H Agena |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891877395 PECOS PAC ID: 7911063466 Enrollment ID: I20090306000501 |
Provider Name | Keith Thomas Kusunis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033110945 PECOS PAC ID: 8022145820 Enrollment ID: I20100428000157 |
Provider Name | Maria Tolentino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891992202 PECOS PAC ID: 2062542293 Enrollment ID: I20100614000610 |
Provider Name | Lester S Holstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720088792 PECOS PAC ID: 0446163786 Enrollment ID: I20100818001067 |
Provider Name | Duane Wesley Styles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285634485 PECOS PAC ID: 3173436417 Enrollment ID: I20100818001165 |
Provider Name | Douglas Albert Chiriboga |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225038342 PECOS PAC ID: 1456264795 Enrollment ID: I20101015000534 |
Provider Name | Darlene K Mcpherson-ventura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235130048 PECOS PAC ID: 3577751858 Enrollment ID: I20101230000923 |
Provider Name | Sula M Safar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225294713 PECOS PAC ID: 1355519356 Enrollment ID: I20111025000810 |
Provider Name | Alan Dioso Cabral |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861620957 PECOS PAC ID: 3476725623 Enrollment ID: I20121210000462 |
Provider Name | James Anthony Meyers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194083535 PECOS PAC ID: 9133358807 Enrollment ID: I20150518002105 |
Provider Name | Jeffery Ijadi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134415854 PECOS PAC ID: 4385881267 Enrollment ID: I20150528002848 |
Provider Name | Dana Rose Homer-bertrand |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578821914 PECOS PAC ID: 4981843273 Enrollment ID: I20160310001213 |
Provider Name | Hanh H Larson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447502661 PECOS PAC ID: 8426367970 Enrollment ID: I20160427000741 |
Provider Name | William Casas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477998615 PECOS PAC ID: 1557502499 Enrollment ID: I20160620002353 |
Provider Name | Monique Michelle Burleigh Sanchez-castro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205247855 PECOS PAC ID: 1052604337 Enrollment ID: I20160725000947 |
Provider Name | Nicholle Amoreena Henley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013351444 PECOS PAC ID: 8022246578 Enrollment ID: I20170314000693 |
Provider Name | Victor Hugo Alvarez Casillas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104111566 PECOS PAC ID: 0446539829 Enrollment ID: I20170608001602 |
Provider Name | Claudia Elizabeth Lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356637359 PECOS PAC ID: 2264711548 Enrollment ID: I20170608002299 |
Provider Name | Mohamed Yehia Abdelwahe Elsharkawy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003229402 PECOS PAC ID: 3577868116 Enrollment ID: I20180912001499 |
Provider Name | Jose E Ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740667401 PECOS PAC ID: 8921351297 Enrollment ID: I20190711001316 |
Provider Name | Feven Wolday |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124474812 PECOS PAC ID: 8022372960 Enrollment ID: I20190829002904 |
Provider Name | Surya Kanti Lakhanpal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760838536 PECOS PAC ID: 6709173503 Enrollment ID: I20200605002046 |
Provider Name | Jesse Cheung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144757386 PECOS PAC ID: 0941552384 Enrollment ID: I20200707001426 |
Provider Name | Tina He Yun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073047270 PECOS PAC ID: 2062835200 Enrollment ID: I20200707002481 |
Provider Name | Jay Atul Shah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023464336 PECOS PAC ID: 9830451541 Enrollment ID: I20200730003521 |
Provider Name | Irene Riley Sung |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720514185 PECOS PAC ID: 7810309143 Enrollment ID: I20201210001452 |
Provider Name | Gianna Nasrin O'hara |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1467980961 PECOS PAC ID: 3476818634 Enrollment ID: I20210618002140 |
Provider Name | Justin Alexander Pegueros |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427546738 PECOS PAC ID: 3375977010 Enrollment ID: I20210819003600 |
Provider Name | Seema S Kamble |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053817353 PECOS PAC ID: 7416207899 Enrollment ID: I20220111002183 |
Provider Name | Christine Jeeyon Kwon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013414515 PECOS PAC ID: 9234562091 Enrollment ID: I20220330000979 |
Provider Name | Elaine Roh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033614722 PECOS PAC ID: 6901230648 Enrollment ID: I20220418000213 |
Provider Name | Tiffany Lynn Kilbas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841855962 PECOS PAC ID: 0143637272 Enrollment ID: I20220520001340 |
Provider Name | Bachar Ali |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902358575 PECOS PAC ID: 4385928837 Enrollment ID: I20221203000528 |
Provider Name | Michael Alexander Okazaki |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164059747 PECOS PAC ID: 5294142303 Enrollment ID: I20230426002332 |
Provider Name | Millie Mae Hathaway |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043847627 PECOS PAC ID: 2062821127 Enrollment ID: I20230525002823 |
Provider Name | Daniel Joseph Blocker |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1477916013 PECOS PAC ID: 5991158537 Enrollment ID: I20240130002439 |
Younis & Lamia Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave, Suite 102, Pomona, CA 91767 Phone: 909-622-8791 Fax: 909-865-6223 | |
Acevedo Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 N Orange Grove Ave, Suite 305, Pomona, CA 91767 Phone: 909-662-2345 Fax: 909-397-7654 | |
Pomona Valley Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1568 N Orange Grove Ave Ste A, Pomona, CA 91767 Phone: 909-868-6666 Fax: 909-868-0206 | |
Luis Perez, M.d., A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 716 E Mission Blvd, Suite D, Pomona, CA 91766 Phone: 909-865-2332 | |
Chaparral Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr, Suite # 205, Pomona, CA 91767 Phone: 909-622-1963 Fax: 909-622-1995 | |
California State Polytechnic University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3801 W Temple Ave, Pomona, CA 91768 Phone: 909-869-4000 | |
Kenneth W Lee & Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 E Artesia St, Suite 140, Pomona, CA 91767 Phone: 909-622-3800 Fax: 909-622-2600 |