Organization Active NPI

J & D Healthcare Inc

Doing business as Junix Medical

  • Primary Care Clinic/Center
  • Montclair, CA
National Provider Identifier
1659884278
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
J & D HEALTHCARE INC
Doing business as
Junix Medical
Practice address
9635 Monte Vista Ave Ste 205
Montclair, CA 91763-2235
Phone
(909) 906-3446
Fax
(909) 966-4450
NPI assigned
Nov 6, 2017
Last updated
Aug 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Authorized official

Name
Mr. Rodolfo Manzano Perez Jr., DNPNPI 1134557648
Title
Administrator
Phone
(909) 906-3446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse Practitioner 363LF0000X 23311 CA

Addresses

Primary practice location

9635 Monte Vista Ave Ste 205
Montclair, CA 91763-2235

Mailing address

9635 Monte Vista Ave Ste 205
Montclair, CA 91763-2235
Phone (909) 906-3446

Other names 1

  • JUNIX MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171215001152 CA Part B Supplier - Clinic/Group Practice 3072871243 Receives reassigned benefits from 2 practitioners
Practice locations: Montclair, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2286280J & D Healthcare Inc Dba Junix Medical9635 Monte Vista Ave Suite 204, Montclair, CA 91763Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

1225 E Pennsylvania Ave
Escondido, CA 92027
Phone (626) 757-1430

1111 N Brand Blvd
Ste 310
Glendale, CA 91202
Phone (818) 956-1141

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756598400000",
    "number": "1659884278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 MONTE VISTA AVE STE 205",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632235",
            "telephone_number": "909-906-3446",
            "fax_number": "909-966-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 MONTE VISTA AVE STE 205",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632235",
            "telephone_number": "909-906-3446",
            "fax_number": "909-966-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & D HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "MANZANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-906-3446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUNIX MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUNIX MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.