OrganizationActive
Foothill Community Medical Corporation
NPI 1104043835 · Family Medicine Physician · Pomona, CA
Provider details
- NPI number
- 1104043835
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rafael Carcamo, President(909) 865-2538
- License
- 00A666750 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1126 W Mission Blvd
Pomona, CA 91766-1342
Phone: (909) 865-2538
Fax: (909) 865-2508
Street-level locationGet directions
Mailing address
1126 W Mission Blvd
Pomona, CA 91766-1342
Other names (DBA / former)
- Doing business as
- San Rafael Community Medical Clinic
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.