POMONA VALLEY COMMUNITY HEALTH CENTER
NPI 1043565096
Clinic/Center - Community Health in Pomona, CA

NPI Status: Active since July 16, 2012

Contact Information

1568 N ORANGE GROVE AVE STE A
POMONA, CA
ZIP 91767
Phone: (909) 868-6666
Fax: (909) 868-0206

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 05D0931230
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-23-2027

About POMONA VALLEY COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Pomona Valley Community Health Center, a primary care provider established in Pomona, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1043565096 assigned on July 2012. The practitioner's primary taxonomy code is 261QC1500X with license number COMMUNITY CLINIC (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Laura Di Sarli (Administration)

NPI
1043565096
Provider Name
POMONA VALLEY COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
1568 N ORANGE GROVE AVE STE A POMONA, CA 91767
Location Phone
(909) 868-6666
Location Fax
(909) 868-0206
Mailing Address
1568 N ORANGE GROVE AVE STE A POMONA, CA 91767
Mailing Phone
(909) 868-6666
Mailing Fax
(909) 868-0206
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2012
Last Update Date
07-16-2012
Code Navigator

A primary care provider (PCP) like Pomona Valley Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
License No.
COMMUNITY CLINIC
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

COMMUNITY CLINIC (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAURA DI SARLI

Authorized Official Title
ADMINISTRATION
Authorized Official Phone
(909) 868-6666

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0931230
Facility Type
Community Clinic
Certificate Effective Date
July 24, 2025
Certificate Expiration Date
July 23, 2027
Laboratory Director
SNEZANA BEGOVIC
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pomona Valley Community Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043565096, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 0 + 6 + 1 + 0 + 0 + 1 + 8 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1043565096.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043565096, enumerated as an "organization" on July 16, 2012.

The provider is located at 1568 N ORANGE GROVE AVE STE A POMONA, CA 91767 and the phone number is (909) 868-6666.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.