PRISTINE MEDICAL GROUP (NPI# 1689855975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689855975 |
| Entity Type | Organization |
| Organization Name | PRISTINE MEDICAL GROUP |
| Practice Address |
1890 N Garey Ave Suite #b Pomona CA 91767-2923 |
| Practice Telephone | 9096260444 |
| Practice Fax Number | 9096290446 |
| Mailing Telephone | 9096260444 |
| Mailing Fax Number | 9096290446 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | MRS. GABRIELA RIOS (ADMINISTRATOR) |
| Authorized Official Telephone | 9096290444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1890 N GAREY AVE SUITE #B |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043542152 | April Dawn Bonilla | Case Manager/Care Coordinator | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2010-02-01 |
| 1972834745 | Candice Rosie Porras | Case Manager/Care Coordinator | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2010-01-19 |
| 1073847547 | Indira Reyes | Case Manager/Care Coordinator | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2009-09-30 |
| 1386977312 | Gaylynn Diane Hill | Case Manager/Care Coordinator | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2009-09-09 |
| 1386877637 | Enrique Sinnel Sandoval | Counselor | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2009-09-02 |
| 1932332293 | Adwoa Agnes Sefa-boakye | Counselor | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2009-09-02 |
| 1912164492 | Stephanie A. Morales | Case Manager/Care Coordinator | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2008-05-21 |
| 1861675431 | Prototypes Centers for Innovation - Health, Mh, & Social Services | Community/Behavioral Health | 1890 N Garey Ave, Pomona, CA 91767-2923 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649700816 | Southwestern Orthopedic Medical Group | Orthopaedic Surgery | 1 Hidden Hills Cir, Pomona, CA 91766-4821 | 2017-06-19 |
| 1982854626 | Hrayr G Basmajian | Orthopaedic Surgery | 160 E Artesia St Ste 255, Pomona, CA 91767-2921 | 2008-09-30 |
| 1972683787 | William R Hale Md Inc | Orthopaedic Surgery | 1800 N Orange Grove Avenue, Pomona, CA 91767-3006 | 2006-10-16 |
| 1235183484 | Christopher A Chalian | Orthopaedic Surgery | 2776 N Garey Ave, Pomona, CA 91767-1810 | 2006-05-20 |
| 1659348621 | Steven C Bast | Orthopaedic Surgery | 255 E Bonita Ave Ste 101, Pomona, CA 91767-1923 | 2006-03-08 |
| 1568080372 | Steven C Bast, Md, Inc. | Orthopaedic Surgery | 255 E Bonita Ave, Pomona, CA 91767-1923 | 2020-07-08 |
| 1003236845 | Jesus Fajardo | Orthopaedic Surgery | 255 E Bonita Ave Ste 101, Pomona, CA 91767-1923 | 2014-04-20 |
| 1407128739 | Joseph E. Deutsch, M.d., P.C. | Orthopaedic Surgery | 8 Medical Park Dr, Pomona, NY 10970-3516 | 2012-02-01 |
| 1770807265 | Luis Antonio Corrales | Orthopaedic Surgery | 255 E Bonita Ave Ste 101, Pomona, CA 91767-1923 | 2010-03-26 |
| 1134442395 | David H Payne Md Inc | Orthopaedic Surgery | 1902 Royalty Dr, #260, Pomona, CA 91767-3030 | 2010-03-02 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.