CLINICA BIENESTAR POMONA
NPI 1205646882
Clinic/Center - Community Health in Pomona, CA

NPI Status: Active since January 07, 2025

Contact Information

436 W 4TH ST
POMONA, CA
ZIP 91766
Phone: (323) 545-6577

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 05D1059703
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-03-2026

About CLINICA BIENESTAR POMONA

This page provides the complete NPI Profile along with additional information for Clinica Bienestar Pomona, 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 1205646882 assigned on January 2025. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Clinica Bienestar Pomona. The authorized official of this NPI record is Robert Contreras Mba (President & Ceo)

NPI
1205646882
Provider Legal Name
BIENESTAR HUMAN SERVICES
Other Organization Name
CLINICA BIENESTAR POMONA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
436 W 4TH ST POMONA, CA 91766
Location Phone
(323) 545-6577
Mailing Address
5326 E BEVERLY BLVD LOS ANGELES, CA 90022
Mailing Phone
(866) 590-6411
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-07-2025
Last Update Date
01-07-2025
Code Navigator

A primary care provider (PCP) like Clinica Bienestar Pomona 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

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

ROBERT CONTRERAS MBA

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(323) 545-6577

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
05D1059703
Facility Type
Community Clinic
Certificate Effective Date
October 04, 2024
Certificate Expiration Date
October 03, 2026
Laboratory Director
MICHAEL BOROOKHIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clinica Bienestar Pomona to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1205646882, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 0 → 0 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 2 + 4 + 1 + 2 + 8 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205646882.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205646882, enumerated as an "organization" on January 07, 2025.

The provider is located at 436 W 4TH ST POMONA, CA 91766 and the phone number is (323) 545-6577.

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