State of California - Department of Developmental Services
NPI 1093085565 · Federally Qualified Health Center (FQHC) · Pomona, CA
State of California - Department of Developmental Services is a Federally Qualified Health Center (FQHC) organization in Pomona, CA (NPI 1093085565).
Provider details
- NPI number
- 1093085565
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Hutchinson, Deputy Director(916) 654-1897
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lanterman Community Clinic
Registry dates
- Enumerated
- 2011-12-30
- Last updated
- 2012-01-17
Frequently asked questions
- What is State of California - Department of Developmental Services's NPI number?
- State of California - Department of Developmental Services's National Provider Identifier (NPI) is 1093085565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of California - Department of Developmental Services?
- State of California - Department of Developmental Services is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is State of California - Department of Developmental Services located?
- State of California - Department of Developmental Services's practice location on file with NPPES is 3530 W Pomona Blvd, Pomona, CA 91768-3238.
- What is State of California - Department of Developmental Services's phone number?
- The practice phone number listed in the NPPES registry for State of California - Department of Developmental Services is (909) 444-7000.
- Who is the authorized official for State of California - Department of Developmental Services?
- The authorized official listed on State of California - Department of Developmental Services's NPPES record is Mark Hutchinson, Deputy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of California - Department of Developmental Services's NPI active?
- Yes — State of California - Department of Developmental Services's NPI (1093085565) is active in the NPPES registry as of the last update on 2012-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.