OLIVE VISTA, CTR FOR PROBLEMS OF LVGS
NPI 1336196484
Skilled Nursing Facility in Pomona, CA

Active since May 27, 2006CLIA 05D0898141 · Waiver
2335 S TOWNE AVE, POMONA, CA 91766(909) 628-6024(909) 628-1839 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olive Vista, Ctr For Problems Of Lvgs NPPES

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

OLIVE VISTA, CTR FOR PROBLEMS OF LVGS (NPI 1336196484) is a healthcare organization registered as a skilled nursing facility in Pomona, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Michael Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1336196484
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSUNBRIDGE BRASWELL ENTERPRISES LLC
Location Address2335 S TOWNE AVEPomona, CA 91766-6227
Mailing Address101 Sun Ave Ne, Compliance DepartmentAlbuquerque, NM 87109-4373 · (505) 468-5604 · Fax (505) 468-4681
Fax(909) 628-1839
Organization SubpartYesParent: Sunbridge Healthcare Llc
Authorized OfficialMichael BergAssistant Secretary · (505) 468-4742
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 13, 2015
NPI 1336196484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 950000080
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.
2335 S TOWNE AVE, Pomona, CA 91766

Other Names 1

Doing Business AsOlive Vista, Ctr For Problems Of Lvgs

Other Identifiers 1

MedicaidZZT18630FCA

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 05D0898141

Sunbridge Braswell Enterprises LLC Dba Olive Vista Behavioral Health Center · Pomona, CA
Active · expires Sep 18, 2027
CLIA Number05D0898141
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorAlan Markie
Laboratory Phone(909) 628-6024
Laboratory LocationSunbridge Braswell Enterprises LLC Dba Olive Vista Behavioral Health Center2335 S Towne Ave, Pomona, CA 91766
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 2

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

Counselor (Mental Health)
2335 S TOWNE AVE
POMONA, CA 91766
Counselor (Mental Health)
2335 S TOWNE AVE
POMONA, CA 91766

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 Sunbridge Braswell Enterprises LLC's NPI number?

The NPI number for Sunbridge Braswell Enterprises LLC is 1336196484. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Olive Vista, Ctr For Problems Of Lvgs.

Where is Sunbridge Braswell Enterprises LLC located?

Sunbridge Braswell Enterprises LLC is located at 2335 S Towne Ave, Pomona, CA 91766. The listed phone number is (909) 628-6024.

What is Sunbridge Braswell Enterprises LLC's specialty?

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

Does Sunbridge Braswell Enterprises LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0898141) is associated with this NPI, valid through September 18, 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 Sunbridge Braswell Enterprises LLC was last updated on July 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.