Monte Vista Medical Group, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MONTE VISTA MEDICAL GROUP, INC.

Practice address

9655 Monte Vista Ave Ste 405
Montclair, CA 91763-2238

Phone

(909) 230-0101

Fax

(909) 445-1122

NPI assigned

Sep 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Bautista, NP

Title

Cfo/Secretary

Phone

(909) 230-0101

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1083338826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 405",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-230-0101",
            "fax_number": "909-445-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 405",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-230-0101",
            "fax_number": "909-445-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO/SECRETARY",
        "authorized_official_telephone_number": "909-230-0101",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montclair Royale Senior Living
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• Montclair Vida Health Clinic PC
• Monte Vista Child Care Center Inc
• Monte Vista Child Care Center Inc
• Jazzmin Montenegro
• Alda Christina Montes
• Wendy Alejandra Montes
• Alejandra Montoya
• Clarise Alice Montoya

• Obstetrics & Gynecology Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.