PROTOTYPES OBHS POMONA
NPI 1386195196
Community/Behavioral Health in Pomona, CA
About Prototypes Obhs Pomona NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROTOTYPES OBHS POMONA (NPI 1386195196) is a healthcare organization registered as a community/behavioral health in Pomona, California and active in the NPI registry since October 2016. The organization lists Vitka Eisen, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prototypes Obhs Pomona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
76Medicare enrollment records show 76 clinicians reassign Medicare billing to Prototypes Obhs Pomona, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 76Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Healthright 360's NPI number?
The NPI number for Healthright 360 is 1386195196. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is also known as Prototypes Obhs Pomona.
Where is Healthright 360 located?
Healthright 360 is located at 831 E Arrow Hwy, Pomona, CA 91767. The listed phone number is (909) 398-4383.
What is Healthright 360's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Healthright 360 enrolled in Medicare?
Yes. Healthright 360 is registered in the Medicare PECOS enrollment system.
When is Healthright 360's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Healthright 360?
According to the CMS Revalidation Reassignment List (October 2026 release), 76 clinicians in 14 Medicare specialties reassign their Medicare billing to Healthright 360. 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. The largest specialties are Nurse Practitioner (32), Clinical Social Worker (11) and Family Practice (7). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Healthright 360 was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Prototypes Obhs Pomona · NPI 1386195196
Community/Behavioral Health organization in Pomona, California. Organization record, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1386195196 (Entity type: Organization)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Healthright 360
- **Organization subpart:** No
- **Authorized official:** Vitka Eisen, PRESIDENT AND CEO
## Practice location
- **Address:** 831 E ARROW HWY, Pomona, CA 91767-2535
- **Phone:** (909) 398-4383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 76 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Clinical Social Worker (11), Family Practice (7); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1386195196/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2017
- **Other identifiers:** Medicaid EO633A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1386195196) · Data from the CMS NPPES public registry.