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POMONA COMMUNITY HEALTH CENTER
NPI 1265999072
Dentist - General Practice in Montclair, CA

Active since February 28, 2019CLIA 05D2324228 · Waiver
4900 ORCHARD ST, MONTCLAIR, CA 91763(909) 469-9018(909) 984-7268 Get Directions Write a Review

NPPES record last updated: February 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pomona Community Health Center NPPES

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

POMONA COMMUNITY HEALTH CENTER (NPI 1265999072) is a healthcare organization registered as a general practice in Montclair, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Ellen R Silver, Np, as its authorized official.

NPPES Registry Identity

NPI1265999072
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePOMONA COMMUNITY HEALTH CENTER
Location Address4900 ORCHARD STMontclair, CA 91763-3228
Mailing Address1450 E Holt AvePomona, CA 91767-5822 · (909) 630-7927 · Fax (909) 620-6719
Phone(909) 469-9018
Fax(909) 984-7268
Organization SubpartNo
Authorized OfficialEllen R SilverNp · (909) 630-7939
Enumeration DateFebruary 28, 2019
✔ NPI 1265999072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4900 ORCHARD ST, Montclair, CA 91763
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Other Names 1

Doing Business AsPomona Community Health Center

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 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 05D2324228

Pomona Community Health Center · Pomona, CA
Active · expires May 19, 2027
CLIA Number05D2324228
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorRaymond Waliany
Laboratory Phone(909) 630-7939
Laboratory LocationPomona Community Health Center716 E Mission Boulevard, Suite C, Pomona, CA 91766
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MARINA CRUSITA HOLGUIN
Community Health Worker
4900 ORCHARD ST
MONTCLAIR, CA 91763
San Bernardino County (909) 626-5046
REBECCA GODOY
Counselor (School)
4900 ORCHARD ST
MONTCLAIR, CA 91763
San Bernardino County (909) 626-5046
CARINA PIMENTEL
Health and Wellness Coach
4900 ORCHARD ST
MONTCLAIR, CA 91763
San Bernardino County (909) 626-5046
MRS. SABRINA BLAKE
Health and Wellness Coach
4900 ORCHARD ST
MONTCLAIR, CA 91763
San Bernardino County (909) 626-5046

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 Pomona Community Health Center's NPI number?

The NPI number for Pomona Community Health Center is 1265999072. It was assigned to this organization in the NPPES registry on February 28, 2019.

Where is Pomona Community Health Center located?

Pomona Community Health Center is located at 4900 Orchard St, Montclair, CA 91763. The listed phone number is (909) 469-9018.

What is Pomona Community Health Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Pomona Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2324228) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pomona Community Health Center was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.