POMONA VALLEY MAXILLOFACIAL AND ORAL SURGERY
NPI 1285881193
Oral & Maxillofacial Surgery in Pomona, CA

NPI Status: Active since August 21, 2008

Contact Information

1880 N ORANGE GROVE AVE
POMONA, CA
ZIP 91767
Phone: (909) 623-3421
Fax: (909) 629-9520

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  • Organization
  • Oral & Maxillofacial Surgery
  • Accepts Insurance
  • CLIA Number: 05D0931230
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 07-23-2025

About POMONA VALLEY MAXILLOFACIAL AND ORAL SURGERY

This page provides the complete NPI Profile along with additional information for Pomona Valley Maxillofacial And Oral Surgery, a provider established in Pomona, California operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1285881193 assigned on August 2008. The practitioner's primary taxonomy code is 204E00000X with license number 46235 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Pomona Valley Maxillofacial And Oral Surgery. The authorized official of this NPI record is Dr. John M Allen Dmd (Owner/president)

NPI
1285881193
Provider Legal Name
JOHN M. ALLEN DMD INC
Other Organization Name
POMONA VALLEY MAXILLOFACIAL AND ORAL SURGERY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1880 N ORANGE GROVE AVE POMONA, CA 91767
Location Phone
(909) 623-3421
Location Fax
(909) 629-9520
Mailing Address
1880 N ORANGE GROVE AVE POMONA, CA 91767
Mailing Phone
(909) 623-3421
Mailing Fax
(909) 629-9520
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2008
Last Update Date
08-21-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License No.
46235
License State
CA
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN M ALLEN DMD

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(909) 623-3421

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0931230
Facility Type
Community Clinic
Certificate Effective Date
July 24, 2023
Certificate Expiration Date
July 23, 2025
Laboratory Director
SNEZANA BEGOVIC MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pomona Valley Maxillofacial And Oral Surgery in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for POMONA VALLEY MAXILLOFACIAL AND ORAL SURGERY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285881193
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651682118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 6 + 8 + 2 + 1 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1285881193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376887018 ALYSSA MARIE VAN BIBBER PAC
Individual
Physician Assistant1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1053576801MS. SUMI T FELIX MD
Individual
Family Medicine1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1427582253 RHODABELLE ALLADO BRAGA N.P.
Individual
Nurse Practitioner (Family)1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1811395965DR. ZAY YAR SETT HTAY M. D , M.B.B. S
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1861810863 RONALD CHANG M.D.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1386182087 AMAN SIRCAR FNP-C
Individual
Nurse Practitioner (Family)1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1952700650 SWE SWE HTIKE MD
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1326232992 LAY MYINT TUN M.D
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1659614121 FRANCIS ALEJANDRO MENDEZ MUNDUATE M.D.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1770929143DR. ROSHNI PATRICK M.D.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(615) 327-6611
1215244546DR. TOBIN J PANICKER M.D.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1235695289CHAPARRAL MEDICAL GROUP, INC.
Organization
Internal Medicine1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1649818451 POONAM KALKAT FNP
Individual
Nurse Practitioner1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1629514153MR. MICAH JAMES WELLER FNP
Individual
Nurse Practitioner (Family)1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1679951164DR. NITIN CHILAKAMARRI M.D.
Individual
General Acute Care Hospital1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 398-1550
1265842470 ALEXANDER CHUONG NGUYEN D.O.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1386088060 HARSHARANDEEP SANGHERA M.D.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1033644273 RITA PATRICK M.D.
Individual
Hospitalist1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 630-7158
1992185847MRS. NANCY ANN RAMIREZ NP-C
Individual
Nurse Practitioner (Family)1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200
1265907836 PARMIDA BEHMARDI PA
Individual
Physician Assistant1880 N ORANGE GROVE AVE
POMONA, CA 91767
(909) 620-7200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285881193, enumerated in the NPI registry as an "organization" on August 21, 2008

The provider is located at 1880 N Orange Grove Ave Pomona, Ca 91767 and the phone number is (909) 623-3421

This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0931230 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on August 21, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.