POMONA URGENT CARE
NPI 1790324481
Clinic/Center - Urgent Care in Pomona, CA

NPI Status: Active since December 30, 2019

Contact Information

1749 N GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 729-5079
Fax: (909) 729-5081

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 05D2180704
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-06-2026

About POMONA URGENT CARE

This page provides the complete NPI Profile along with additional information for Pomona Urgent Care, a provider established in Pomona, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1790324481 assigned on December 2019. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Pomona Urgent Care. The authorized official of this NPI record is Archie Trinidad (Manager)

NPI
1790324481
Provider Legal Name
ERASTO GUTIERREZ MD INC
Other Organization Name
POMONA URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1749 N GAREY AVE POMONA, CA 91767
Location Phone
(909) 729-5079
Location Fax
(909) 729-5081
Mailing Address
1749 N GAREY AVE POMONA, CA 91767
Mailing Phone
(909) 729-5079
Mailing Fax
(909) 729-5081
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-30-2019
Last Update Date
09-19-2023
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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

ARCHIE TRINIDAD

Authorized Official Title
MANAGER
Authorized Official Phone
(909) 729-5079

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
05D2180704
Facility Type
Physician Office
Certificate Effective Date
September 07, 2024
Certificate Expiration Date
September 06, 2026
Laboratory Director
ERASTO GUTIERREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pomona Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for POMONA URGENT CARE

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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.
1790324481
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180628416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 2 + 8 + 4 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790324481 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104022581DR. ERASTO GUTIERREZ M.D.
Individual
Family Medicine1749 N GAREY AVE
POMONA, CA 91767
(909) 729-5079
1609498690ERASTO GUTIERREZ MD INC
Organization
Clinic/Center (Urgent Care)1749 N GAREY AVE
POMONA, CA 91767
(909) 729-5079
1932987039ERASTO GUTIERREZ MD INC
Organization
Clinic/Center (Urgent Care)1749 N GAREY AVE
POMONA, CA 91767
(909) 729-5079

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790324481, enumerated in the NPI registry as an "organization" on December 30, 2019

The provider is located at 1749 N Garey Ave Pomona, Ca 91767 and the phone number is (909) 729-5079

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 05D2180704 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 30, 2019. 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].
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