Organization Active NPI

Montclair Ultrasound Health Center, Inc.

  • Radiology Clinic/Center
  • Montclair, CA
National Provider Identifier
1386971646
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
A70349 Issued in CA
Legal business name
MONTCLAIR ULTRASOUND HEALTH CENTER, INC.
Practice address
5206 Benito St
Suite 105
Montclair, CA 91763-2852
Phone
(909) 509-5919
Fax
(909) 992-3182
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Donald Jose Cabrera Sr.
Title
Director
Phone
(800) 838-0384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X A70349 CA Primary

Addresses

Primary practice location

5206 Benito St
Suite 105
Montclair, CA 91763-2852

Mailing address

5206 Benito St
Suite 105
Montclair, CA 91763-2852
Phone (909) 509-5919

National Provider Directory

National Provider Directory

Locations

5206 Benito St
Ste 105
Montclair, CA 91763
Phone (909) 237-0312

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1386971646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5206 BENITO ST",
            "address_2": "SUITE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632852",
            "telephone_number": "909-509-5919",
            "fax_number": "909-992-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 BENITO ST",
            "address_2": "SUITE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632852",
            "telephone_number": "909-509-5919",
            "fax_number": "909-992-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR ULTRASOUND HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-838-0384",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A70349",
            "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 Jan 6, 2010; 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.