OrganizationActive
Champion Medical Group, a Medical Corporation
NPI 1639460066 · Non-Pharmacy Dispensing Site · Pomona, CA
Champion Medical Group, a Medical Corporation is a Non-Pharmacy Dispensing Site organization in Pomona, CA (NPI 1639460066).
Provider details
- NPI number
- 1639460066
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Champion Medical Group, a Medical Corporation
- Organization subpart
- Yes
- Authorized official
- Herbert Marshak, Medical Liaison(310) 474-9809
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1902 Royalty Dr
Ste 290
Pomona, CA 91767-3030
Phone: (909) 397-9007
Street-level locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2011-04-19
- Last updated
- 2015-10-05
Frequently asked questions
- What is Champion Medical Group, a Medical Corporation's NPI number?
- Champion Medical Group, a Medical Corporation's National Provider Identifier (NPI) is 1639460066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Champion Medical Group, a Medical Corporation?
- Champion Medical Group, a Medical Corporation is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Champion Medical Group, a Medical Corporation located?
- Champion Medical Group, a Medical Corporation's practice location on file with NPPES is 1902 Royalty Dr, Pomona, CA 91767-3030.
- What is Champion Medical Group, a Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Champion Medical Group, a Medical Corporation is (909) 397-9007.
- Who is the authorized official for Champion Medical Group, a Medical Corporation?
- The authorized official listed on Champion Medical Group, a Medical Corporation's NPPES record is Herbert Marshak, Medical Liaison. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Champion Medical Group, a Medical Corporation's NPI active?
- Yes — Champion Medical Group, a Medical Corporation's NPI (1639460066) is active in the NPPES registry as of the last update on 2015-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.