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GOLDOME HEALTHCARE INC.
NPI 1295154672
Clinic/Center - Primary Care in Pomona, CA

Active since April 14, 2014CLIA 05D2078948 · Waiver
3191 W TEMPLE AVE STE 190, POMONA, CA 91768(909) 895-3299(909) 895-4801 Get Directions Write a Review

NPPES record last updated: May 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2024, Jul 17, 2019, Dec 29, 2016 (3 updates tracked since 2016).

About Goldome Healthcare Inc. NPPES

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

GOLDOME HEALTHCARE INC. (NPI 1295154672) is a healthcare organization registered as a primary care in Pomona, California and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists David T Chen, President, as its authorized official.

NPPES Registry Identity

NPI1295154672
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOLDOME HEALTHCARE INC.
Location Address3191 W TEMPLE AVE STE 190Pomona, CA 91768-3228
Mailing Address3191 W Temple Ave Ste 190Pomona, CA 91768-3228 · (909) 895-3299 · Fax (909) 895-4801
Phone(909) 895-3299
Fax(909) 895-4801
Organization SubpartNo
Authorized OfficialDavid T ChenPresident · (951) 334-1939
Enumeration DateApril 14, 2014
Last NPPES UpdateMay 4, 20243 updates tracked since enumeration
NPPES CertifiedMay 4, 2024
✔ NPI 1295154672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A82411
3191 W TEMPLE AVE STE 190, Pomona, CA 91768
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goldome Healthcare Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Goldome Healthcare Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

David Chen, MD
Family Practice
NPI 1891719852
3191 W TEMPLE AVE STE 190
Pomona, CA 91768
(909) 895-3299
✔ PECOSSame address
Lisa Huang, NP
Nurse Practitioner
NPI 1629634852
2705 S DIAMOND BAR BLVD STE 100
Diamond Bar, CA 91765
(626) 965-1988
✔ PECOS5.1 mi
Crystal Huong
Nurse Practitioner
NPI 1992376636
2705 S DIAMOND BAR BLVD STE 100
Diamond Bar, CA 91765
(626) 965-1988
✔ PECOS5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2078948

Goldome Healthcare Inc · Pomona, CA
Active · expires Jun 5, 2028
CLIA Number05D2078948
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorDavid T. Chen
Laboratory Phone(626) 667-8290
Laboratory LocationGoldome Healthcare Inc3191 W Temple Ave Ste 190, Pomona, CA 91768
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Goldome Healthcare Inc.'s NPI number?

The NPI number for Goldome Healthcare Inc. is 1295154672. It was assigned to this organization in the NPPES registry on April 14, 2014.

Where is Goldome Healthcare Inc. located?

Goldome Healthcare Inc. is located at 3191 W Temple Ave Ste 190, Pomona, CA 91768. The listed phone number is (909) 895-3299.

What is Goldome Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Goldome Healthcare Inc. enrolled in Medicare?

Yes. Goldome Healthcare Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goldome Healthcare Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Goldome Healthcare Inc., in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Goldome Healthcare Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2078948) is associated with this NPI, valid through June 5, 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 Goldome Healthcare Inc. was last updated on May 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.