Individual provider Active NPI

Don Clem Celeste Montilla

  • Medical-Surgical Registered Nurse
  • Rancho Cucamonga, CA
National Provider Identifier
1366305344
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
95346157 Issued in CA
Practice address
13133 Loire Valley Dr
Rancho Cucamonga, CA 91739-9456
Phone
(909) 641-4264
NPI assigned
Dec 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 95346157 CA Primary

Addresses

Primary practice location

13133 Loire Valley Dr
Rancho Cucamonga, CA 91739-9456

Mailing address

13133 Loire Valley Dr
Rancho Cucamonga, CA 91739-9456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95346157CAMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1366305344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13133 LOIRE VALLEY DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 LOIRE VALLEY DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399456",
            "telephone_number": "909-641-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILLA",
        "first_name": "DON CLEM",
        "middle_name": "CELESTE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95346157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.