Montclair Community Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MONTCLAIR COMMUNITY CLINIC

Practice address

9655 Monte Vista Ave Ste 402a
Montclair, CA 91763-2238

Phone

(909) 972-0924

Fax

(909) 966-4987

NPI assigned

May 23, 2024

Last updated

Mar 11, 2026By 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

Kenoye R UkuNPI 1013084920

Title

Owner

Phone

(206) 456-6933

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenoye R. Uku, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1013084920
  Medicare reassignment NPD Authorized official
• Ese Ogbetuo, FNP

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1417423138

  Single Specialty

  Medicare reassignment NPD
• Peter Oziegbe

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
  • NPI 1770753618
  Medicare reassignment NPD
• Rerhime Reri Uku, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laguna Hills, CA
  • NPI 1659906147
  Medicare reassignment NPD

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1538908074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 402A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-972-0924",
            "fax_number": "909-966-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 402A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-972-0924",
            "fax_number": "909-966-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "UKU",
        "authorized_official_first_name": "KENOYE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-456-6933"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Alejandro Molinar
• Paul J Molinaro, M.D.
• Julian Monarrez
• Alondra Monje
• Mia Monroe
• Montclair Community Health Center
• Montclair Emergency Medical Associates
• Montclair Emergency Medical Associates, Inc.
• Montclair Guest Home, Inc
• Montclair Horizon Hospice, Inc.

• Internal Medicine Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.