Clinica Medica Familiar De Montclair - Medicare Primary Care in Montclair, CA

Clinica Medica Familiar De Montclair is a medicare enrolled primary clinic (Family Medicine) in Montclair, California. The current practice location for Clinica Medica Familiar De Montclair is 10563 Mills Ave, Montclair, California. For appointments, you can reach them via phone at (909) 626-4020. The mailing address for Clinica Medica Familiar De Montclair is 10563 Mills Ave, Montclair, California and phone number is (909) 262-4020.

Clinica Medica Familiar De Montclair is licensed to practice in California (license number A92039). The clinic also participates in the medicare program and its NPI number is 1568567600. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (909) 626-4020.

Contact Information

Clinica Medica Familiar De Montclair
10563 Mills Ave
Montclair
CA 91763-4610
(909) 626-4020
Not Available

Primary Care Clinic Profile

Full NameClinica Medica Familiar De Montclair
SpecialityFamily Medicine
Location10563 Mills Ave, Montclair, California
Authorized Official Name and PositionOctavio Ruiz-villalpando (PRESIDENT)
Authorized Official Contact9096264020
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clinica Medica Familiar De Montclair
10563 Mills Ave
Montclair
CA 91763-4610

Ph: (909) 262-4020
Clinica Medica Familiar De Montclair
10563 Mills Ave
Montclair
CA 91763-4610

Ph: (909) 626-4020

NPI Details:

NPI Number1568567600
Provider Enumeration Date09/13/2006
Last Update Date12/01/2008

Medicare PECOS Information:

Medicare PECOS PAC ID6204932429
Medicare Enrollment IDO20070504000393

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Medical Identifiers

Medical identifiers for Clinica Medica Familiar De Montclair such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568567600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A92039 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clinica Medica Familiar De Montclair acts as a billing entity for following providers:
Provider NameOctavio Ruiz Villalpando
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194832816
PECOS PAC ID: 3870691926
Enrollment ID: I20070613000358

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