Monte Vista Physicians a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A44835 Issued in CA

Legal business name

MONTE VISTA PHYSICIANS A MEDICAL CORPORATION

Practice address

914 W Foothill Blvd Ste a
Upland, CA 91786-3785

Phone

(909) 931-0069

Fax

(909) 625-4954

NPI assigned

Apr 26, 2017

Last updated

Jan 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose De la Llana, M.D.

Title

Primary Care Provider

Phone

(909) 931-0069

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1326573437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 MONTE VISTA AVE STE 108",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632200",
            "telephone_number": "909-625-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 W FOOTHILL BLVD STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863785",
            "telephone_number": "909-931-0069",
            "fax_number": "909-625-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE VISTA PHYSICIANS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "DE LA LLANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRIMARY CARE PROVIDER",
        "authorized_official_telephone_number": "909-931-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A448351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monte Vista Child Care Center Inc (Mesa Terrace Division)
• Monte Vista Child Care Center Inc (Genoa Division)
• Monte Vista Child Care Center Inc (Gibbs Division)
• Monte Vista Child Care Center Inc (Yorktown Division)
• Monte Vista Child Care Center Inc (Loma Sola Division)
• Angelica G Montgomery, ACSW
• Gloria Ann Montoya
• Laura Maria Mora Alfaro
• Andy Morales Jr.
• Daniel Morales

• Family Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.