Holt Medical Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A63781 Issued in CA

Legal business name

HOLT MEDICAL CORPORATION

Practice address

5153 Holt Blvd Ste B1
Montclair, CA 91763-4820

Phone

(909) 603-9000

Fax

(909) 603-9008

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Sohrab Salamatipour, MDNPI 1003957077

Title

Owner

Phone

(909) 603-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sohrab Salamatipour, MD

  • Specialist
  • Orange, CA
  • NPI 1003957077
  Medicare reassignment Care Compare group Authorized official
• Melody L Angeles-Riparip, M.D.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1093752248
  Medicare reassignment Care Compare group NPD
• Gita Jamshidi Kalantari, MD

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1790968659
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1285721571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 HOLT BLVD STE B1",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634837",
            "telephone_number": "909-603-9000",
            "fax_number": "909-603-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 HOLT BLVD STE B1",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634820",
            "telephone_number": "909-603-9000",
            "fax_number": "909-603-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "SALAMATIPOUR",
        "authorized_official_first_name": "SOHRAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-603-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A63781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Holland
• Tyler Holle, H.A.D.
• Gabriel Holloway
• Holt Dental Center
• Holt Dental Center
• Allan Hong, D.M.D
• Gene S Hong, MD
• Jace Hong
• Tiffany Hooper
• Hope & Mercy Hospice Care, Inc.

• Multi-Specialty Clinic/Center in Montclair, CA
• Providers in Montclair, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.