COUNTRY OAKS CARE CENTER
NPI 1265517957
Skilled Nursing Facility in Pomona, CA

Active since October 25, 2006CLIA 05D0885197 · Waiver
215 W PEARL ST, POMONA, CA 91768(909) 622-1067(909) 622-0412 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Oaks Care Center NPPES

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

COUNTRY OAKS CARE CENTER (NPI 1265517957) is a healthcare organization registered as a skilled nursing facility in Pomona, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Randal Kleis, President, as its authorized official.

NPPES Registry Identity

NPI1265517957
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTRINITY OAKLAND, INC
Location Address215 W PEARL STPomona, CA 91768-3114
Mailing Address215 W Pearl StPomona, CA 91768-3114 · (909) 622-1067 · Fax (909) 622-0412
Fax(909) 622-0412
Organization SubpartNo
Authorized OfficialRandal KleisPresident · (425) 820-9750
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 21, 2007
NPI 1265517957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
215 W PEARL ST, Pomona, CA 91768

Other Names 1

Doing Business AsCountry Oaks Care Center

Other Identifiers 2

Medicare ID-Type Unspecified055247CA
MedicaidLTC70157FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0885197

Country Oaks Care Center · Pomona, CA
Active · expires Apr 15, 2028
CLIA Number05D0885197
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorGary G. Sandhu
Laboratory Phone(909) 622-1067
Laboratory LocationCountry Oaks Care Center215 W Pearl Street, Pomona, CA 91768
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
215 W PEARL ST
POMONA, CA 91768
Physician Assistant (Medical)
215 W PEARL ST
POMONA, CA 91768
Physical Medicine & Rehabilitation
215 W PEARL ST
POMONA, CA 91768
Physical Therapy Assistant
215 W PEARL ST
POMONA, CA 91768
Skilled Nursing Facility
215 W PEARL ST
POMONA, CA 91768

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 Trinity Oakland, Inc's NPI number?

The NPI number for Trinity Oakland, Inc is 1265517957. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Country Oaks Care Center.

Where is Trinity Oakland, Inc located?

Trinity Oakland, Inc is located at 215 W Pearl St, Pomona, CA 91768. The listed phone number is (909) 622-1067.

What is Trinity Oakland, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Trinity Oakland, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0885197) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinity Oakland, Inc was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.