1. Home
  2. Directory
  3. California
  4. Pomona
  5. General Practice
  6. NPI Profile

SAN MIGUEL COMMUNITY CLINIC
NPI 1942548342
General Practice in Pomona, CA

Active since January 21, 2013
825 N PARK AVE, POMONA, CA 91768(909) 622-9988(909) 622-3452 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Miguel Community Clinic NPPES

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

SAN MIGUEL COMMUNITY CLINIC (NPI 1942548342) is a healthcare organization registered as a general practice in Pomona, California and active in the NPI registry since January 2013. The organization lists Kj Laessig, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942548342
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSAN MIGUEL COMMUNITY CLINIC
Location Address825 N PARK AVEPomona, CA 91768-3002
Mailing Address825 N Park AvePomona, CA 91768-3002 · (909) 622-9988 · Fax (909) 622-3452
Phone(909) 622-9988
Fax(909) 622-3452
Organization SubpartYesParent: The San Miguel Foundation
Authorized OfficialKj LaessigExecutive Director · (213) 742-0255
Enumeration DateJanuary 21, 2013
✔ NPI 1942548342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
825 N PARK AVE, Pomona, CA 91768
Open in Google Maps ↗

Other Identifiers 2

Medicare PINW7196E
MedicaidGR0016851CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SAN MIGUEL URGENT CARE POMONA
Clinic/Center (Urgent Care)
825 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 622-9988
MAHFOUZ M. MICHAEL,M.D.,INC.
Family Medicine
825 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 622-9988
MRS. ARUNA UDAU SHAH MD
General Practice
825 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 622-0339
MRS. RUTH JAMORALIN MENDEZ N.P.
Nurse Practitioner (Obstetrics & Gynecology)
825 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 622-2945

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 San Miguel Community Clinic's NPI number?

The NPI number for San Miguel Community Clinic is 1942548342. It was assigned to this organization in the NPPES registry on January 21, 2013.

Where is San Miguel Community Clinic located?

San Miguel Community Clinic is located at 825 N Park Ave, Pomona, CA 91768. The listed phone number is (909) 622-9988.

What is San Miguel Community Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for San Miguel Community Clinic was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.