| Montclair Medical Professional Corporation | |
|
9675 Monte Vista Ave Ste C Montclair CA 91763-2213 | |
| (855) 505-7467 | |
| (888) 975-8926 |
| Full Name | Montclair Medical Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 9675 Monte Vista Ave Ste C, Montclair, California |
| Authorized Official Name and Position | Javier R Rios (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9513543221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Medical Professional Corporation 495 E Rincon St Ste 215 Corona CA 92879-1378 Ph: (951) 523-0117 | Montclair Medical Professional Corporation 9675 Monte Vista Ave Ste C Montclair CA 91763-2213 Ph: (855) 505-7467 |
| NPI Number | 1972955730 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 06/06/2022 |
| Medicare PECOS PAC ID | 6406133685 |
|---|---|
| Medicare Enrollment ID | O20170426002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972955730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Thuy D Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558362723 PECOS PAC ID: 7911893052 Enrollment ID: I20040225000525 |
| Provider Name | Kajal Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154461010 PECOS PAC ID: 7517047160 Enrollment ID: I20080428000699 |
| Provider Name | Javier R Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639246176 PECOS PAC ID: 3173518156 Enrollment ID: I20081119000392 |
| Provider Name | Bilal R Kaaki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063464089 PECOS PAC ID: 2062421555 Enrollment ID: I20091124000724 |
| Provider Name | Dalia A Corleone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649443599 PECOS PAC ID: 4587842570 Enrollment ID: I20110622000039 |
| Provider Name | Rodolfo Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053686865 PECOS PAC ID: 7517283922 Enrollment ID: I20150302002473 |
| Provider Name | Gabriel Colon Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114220886 PECOS PAC ID: 3375814080 Enrollment ID: I20170728002539 |
| Provider Name | Andy K Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326551219 PECOS PAC ID: 2769744184 Enrollment ID: I20180323001323 |
| Provider Name | Zainab Ather Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437449048 PECOS PAC ID: 7719202696 Enrollment ID: I20180522003197 |
| Provider Name | Greta E Rios-steed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649708397 PECOS PAC ID: 3476824871 Enrollment ID: I20200706000849 |
| Provider Name | Christie To-trinh Hua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578067484 PECOS PAC ID: 2062818727 Enrollment ID: I20210902003314 |
| Provider Name | Joanne Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821683806 PECOS PAC ID: 8426432741 Enrollment ID: I20230103001273 |
| Provider Name | Reyna Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508531302 PECOS PAC ID: 8527439421 Enrollment ID: I20230131001684 |
| Provider Name | Rashid Altafi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285948943 PECOS PAC ID: 1951522317 Enrollment ID: I20230131003016 |
| Provider Name | Shivani Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649989591 PECOS PAC ID: 6305219965 Enrollment ID: I20230301001028 |
| Provider Name | Candace Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174238356 PECOS PAC ID: 4880068451 Enrollment ID: I20230817003823 |
| Provider Name | Rosy Stephanie Montalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790551471 PECOS PAC ID: 1456790815 Enrollment ID: I20240417003523 |
| Provider Name | Rigoberto Tejeda Acevedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306469739 PECOS PAC ID: 0840632360 Enrollment ID: I20240529001470 |
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