Active NPI
Medtest Medical & Mobile Group Apc
- Infectious Disease Physician
- Montclair, CA
National Provider Identifier
1114723418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- MEDTEST MEDICAL & MOBILE GROUP APC
- Doing business as
- MedTest Mobile Group
- Practice address
- 4780 W Mission Blvd Ste 207
Montclair, CA 91762-4406 - Phone
- (914) 774-9722
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent Anthony Covelli, MD
- Title
- Ceo
- Phone
- (760) 241-6666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
4780 W Mission Blvd Ste 207
Montclair, CA 91762-4406
Mailing address
4780 W Mission Blvd Ste 207
Montclair, CA 91762-4406
Phone (914) 774-9722
Other names 1
- MedTest Mobile Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Victorville, CA
- NPI 1528354347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1114723418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 W MISSION BLVD STE 207",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917624406",
"telephone_number": "914-774-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 W MISSION BLVD STE 207",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917624406",
"telephone_number": "914-774-9722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDTEST MEDICAL & MOBILE GROUP APC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A",
"authorized_official_last_name": "COVELLI",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-241-6666",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedTest Mobile Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.