Active NPI
Montclair Family Medical Center Inc
- Legal Medicine
- Ontario, CA
National Provider Identifier
1619144227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- A51480
- Legal business name
- MONTCLAIR FAMILY MEDICAL CENTER INC
- Doing business as
- Royal care medical center
- Practice address
- 653 East E St
Suite 109
Ontario, CA 91764-4257 - Phone
- (909) 395-9888
- NPI assigned
- May 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joselito P Babaran, MD
- Title
- Legal Medicine
- Phone
- (909) 395-9888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | A51480 | CA | Primary |
Addresses
Primary practice location
653 East E St
Suite 109
Ontario, CA 91764-4257
Mailing address
653 East E St
Suite 109
Ontario, CA 91764-4257
Phone (909) 395-9888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A514802 | Medicaid | CA | |
| 00A514800 | Other | CA | MEDICARE |
Other names 1
- Royal care medical center
National Provider Directory
National Provider DirectoryLocations
653 E E St
Ste 109
Ontario, CA 91764
Phone (909) 395-9888
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Legal Medicine
- Compton, CA
- NPI 1750325098
-
- Family Medicine Physician
- Montclair, CA
- NPI 1245234780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1619144227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 EAST E ST",
"address_2": "SUITE 109",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644257",
"telephone_number": "909-395-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 EAST E ST",
"address_2": "SUITE 109",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644257",
"telephone_number": "909-395-9888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTCLAIR FAMILY MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "BABARAN",
"authorized_official_first_name": "JOSELITO",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "LEGAL MEDICINE",
"authorized_official_telephone_number": "909-395-9888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "CA",
"license": "A51480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A514802",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00A514800",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal care medical center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.