Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Edward Prater Sr.

Individual provider Peer Specialist · NPI 1164065041

John Edward Prater Sr. is a Peer Specialist in Pomona, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1050 N Garey Ave
Pomona, CA 91767-3802
Phone: (909) 623-6391
Fax: (909) 620-9491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14576-RAC (CA)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1164065041
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address2435 Cienega Dr, Highland, CA 92346-2295

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