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LANTERMAN COMMUNITY CLINIC
NPI 1093085565
Clinic/Center - Federally Qualified Health Center (FQHC) in Pomona, CA

Active since December 30, 2011
3530 W POMONA BLVD, POMONA, CA 91768(909) 444-7000 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lanterman Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANTERMAN COMMUNITY CLINIC (NPI 1093085565) is a healthcare organization registered as a federally qualified health center (fqhc) in Pomona, California and active in the NPI registry since December 2011. The organization lists Mark Hutchinson, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1093085565
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSTATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Location Address3530 W POMONA BLVDPomona, CA 91768-3238
Mailing Address1600 9th St Ste 205, Ms 2-3Sacramento, CA 95814-6435 · (916) 654-2431 · Fax (916) 653-4587
Phone(909) 444-7000
Organization SubpartNo
Authorized OfficialMark HutchinsonDeputy Director · (916) 654-1897
Enumeration DateDecember 30, 2011
Last NPPES UpdateJanuary 17, 2012
✔ NPI 1093085565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3530 W POMONA BLVD, Pomona, CA 91768
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Other Names 1

Doing Business AsLanterman Community Clinic

Other Identifiers 2

Medicare PIN05-0545CA
Medicare PINAU661CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of California - Department Of Developmental Services's NPI number?

The NPI number for State Of California - Department Of Developmental Services is 1093085565. It was assigned to this organization in the NPPES registry on December 30, 2011. The provider is doing business as Lanterman Community Clinic.

Where is State Of California - Department Of Developmental Services located?

State Of California - Department Of Developmental Services is located at 3530 W Pomona Blvd, Pomona, CA 91768. The listed phone number is (909) 444-7000.

What is State Of California - Department Of Developmental Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for State Of California - Department Of Developmental Services was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.