Monte Vista Physicians A Medical Corporation - Medicare Primary Care in Upland, CA

Monte Vista Physicians A Medical Corporation is a medicare enrolled primary clinic (Family Medicine) in Upland, California. The current practice location for Monte Vista Physicians A Medical Corporation is 914 W Foothill Blvd Ste A, Upland, California. For appointments, you can reach them via phone at (909) 931-0069. The mailing address for Monte Vista Physicians A Medical Corporation is 9625 Monte Vista Ave Ste 108, Montclair, California and phone number is (909) 625-7784.

Monte Vista Physicians A Medical Corporation is licensed to practice in California (license number A44835). The clinic also participates in the medicare program and its NPI number is 1326573437. 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) 931-0069.

Contact Information

Monte Vista Physicians A Medical Corporation
914 W Foothill Blvd Ste A
Upland
CA 91786-3785
(909) 931-0069
(909) 625-4954

Primary Care Clinic Profile

Full NameMonte Vista Physicians A Medical Corporation
SpecialityFamily Medicine
Location914 W Foothill Blvd Ste A, Upland, California
Authorized Official Name and PositionJose De La Llana (PRIMARY CARE PROVIDER)
Authorized Official Contact9099310069
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Monte Vista Physicians A Medical Corporation
9625 Monte Vista Ave Ste 108
Montclair
CA 91763-2200

Ph: (909) 625-7784
Monte Vista Physicians A Medical Corporation
914 W Foothill Blvd Ste A
Upland
CA 91786-3785

Ph: (909) 931-0069

NPI Details:

NPI Number1326573437
Provider Enumeration Date04/26/2017
Last Update Date01/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9335406222
Medicare Enrollment IDO20171130003434

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Medical Identifiers

Medical identifiers for Monte Vista Physicians A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326573437NPI-NPPES
00A448351MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A44835 (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. Monte Vista Physicians A Medical Corporation acts as a billing entity for following providers:
Provider NameAdam Juan Novak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720031388
PECOS PAC ID: 7810013927
Enrollment ID: I20100927000676

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Provider NameJose A De La Llana
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1326244062
PECOS PAC ID: 6709941784
Enrollment ID: I20140918001961

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