SAN ANTONIO COMMUNITY CLINIC INC.
NPI 1265829766
Physician Assistant - Medical in Pomona, CA

Active since April 22, 2015CLIA 05D1049094 · Waiver
2286 S GAREY AVE, POMONA, CA 91766(626) 539-1191 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 14, 2022, Jan 27, 2022, Nov 5, 2021 (3 updates tracked since 2021).

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

NPI1265829766
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameGLOBAL HEALTH EDUCATION & INFORMATION SERVICES INC.
Location Address2286 S GAREY AVEPomona, CA 91766-5645
Mailing Address2286 S Garey AvePomona, CA 91766-5645
Organization SubpartNo
Authorized OfficialAntnony KingsleyPresident · (626) 539-1191
Enumeration DateApril 22, 2015
Last NPPES UpdateFebruary 14, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
NPI 1265829766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2286 S GAREY AVE, Pomona, CA 91766

Other Names 1

Doing Business AsSan Antonio Community Clinic Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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, CA
Active · expires Dec 21, 2027
CLIA Number05D1049094
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorAnthony Kingsley MD
Laboratory Phone(909) 464-2817
Laboratory LocationSan Antonio Community Health Center2286 S Garey Ave, Pomona, CA 91766
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Specialist
2286 S GAREY AVE
POMONA, CA 91766

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.