Organization Active NPI

GB Medical Services LLC

  • Family Medicine Physician
  • Montclair, CA
National Provider Identifier
1174136097
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GB MEDICAL SERVICES LLC
Practice address
9670 Central Ave Ste 111
Montclair, CA 91763-2425
Phone
(909) 438-8668
NPI assigned
Aug 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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

Authorized official

Name
Grace L Barlett, NURSE PRACTITIONER
Title
Ceo
Phone
(909) 438-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9670 Central Ave Ste 111
Montclair, CA 91763-2425

Mailing address

9670 Central Ave Ste 111
Montclair, CA 91763-2425
Phone (909) 438-8668

National Provider Directory

National Provider Directory

Locations

9670 Central Ave
Ste 111
Montclair, CA 91763
Phone (909) 438-8668

4795 Holt Blvd
#111
Montclair, CA 91763

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598659200000",
    "number": "1174136097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 CENTRAL AVE STE 111",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632425",
            "telephone_number": "909-438-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 CENTRAL AVE STE 111",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632425",
            "telephone_number": "909-438-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GB MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A",
        "authorized_official_last_name": "BARLETT",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-438-8668",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 2020; 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.