SAN ANTONIO COMMUNITY CLINIC INC.
NPI 1265829766
Physician Assistant - Medical in Pomona, CA
About San Antonio Community Clinic Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN ANTONIO COMMUNITY CLINIC INC. (NPI 1265829766) is a healthcare organization registered as a medical in Pomona, California and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Antnony Kingsley, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 05D1049094
San Antonio Community Health Center · Pomona, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265829766, enumerated as an "organization" on April 22, 2015.
The provider is located at 2286 S GAREY AVE POMONA, CA 91766 and the phone number is (626) 539-1191.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.