POMONA COMMUNITY HEALTH CENTER
NPI 1417211426
Clinic/Center - Federally Qualified Health Center (FQHC) in Pomona, CA
About Pomona Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POMONA COMMUNITY HEALTH CENTER (NPI 1417211426), doing business as Parktree Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Pomona, California and active in the NPI registry since June 2012. The organization maintains a secondary practice location in Pomona and lists David Michael Kadar, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pomona Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Pomona Community Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (13)
Source: 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 Pomona Community Health Center's NPI number?
The NPI number for Pomona Community Health Center is 1417211426. It was assigned to this organization in the NPPES registry on June 25, 2012. The provider is doing business as Parktree Community Health Center. The provider is also known as Pomona Community Health Center - Village.
Where is Pomona Community Health Center located?
Pomona Community Health Center is located at 1450 E Holt Ave, Pomona, CA 91767. The listed phone number is (909) 630-7927.
What is Pomona Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Pomona Community Health Center enrolled in Medicare?
Yes. Pomona Community Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pomona Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 8 Medicare specialties reassign their Medicare billing to Pomona Community Health Center. 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 Optometry (3), Family Practice (2) and Nurse Practitioner (2). 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 Pomona Community Health Center was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Pomona Community Health Center · NPI 1417211426
Federally Qualified Health Center (FQHC) organization in Pomona, California. Organization record, active in the CMS NPPES registry since June 25, 2012.
## Identity
- **NPI:** 1417211426 (Entity type: Organization)
- **Enumerated:** June 25, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Parktree Community Health Center (Doing Business As); Pomona Community Health Center - Village (Other Name)
- **Organization subpart:** No
- **Authorized official:** David Kadar, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 1450 E HOLT AVE, Pomona, CA 91767-5822
- **Phone:** (909) 630-7927 · **Fax:** (909) 620-6719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (3), Family Practice (2), Nurse Practitioner (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417211426) · Data from the CMS NPPES public registry.