| St John Community Health Center | |
|
2112 S Garey Ave Ste C Pomona CA 91766-5600 | |
| (909) 464-0520 | |
| (909) 464-0523 |
| Full Name | St John Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2112 S Garey Ave Ste C, Pomona, California |
| Authorized Official Name and Position | Valerie Ann Franco (CFO) |
| Authorized Official Contact | 9094640520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Community Health Center 2112 S Garey Ave Ste C Pomona CA 91766-5600 Ph: (909) 464-0520 | St John Community Health Center 2112 S Garey Ave Ste C Pomona CA 91766-5600 Ph: (909) 464-0520 |
| NPI Number | 1962069393 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 06/16/2023 |
| Medicare PECOS PAC ID | 3577978345 |
|---|---|
| Medicare Enrollment ID | O20210209002501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962069393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Hazel Mckillop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396766994 PECOS PAC ID: 5294799201 Enrollment ID: I20050413000510 |
| Provider Name | Erica Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790279081 PECOS PAC ID: 2668889494 Enrollment ID: I20210323002428 |
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 |