Individual provider Active NPI

Monir Katani, MD

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1760428445
Registry record updated Oct 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54098 Issued in CA
Practice address
7965 Sierra Ave
Fontana, CA 92336-3329
Phone
(909) 356-4459
Fax
(909) 355-4261
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54098 CA Primary

Addresses

Primary practice location

7965 Sierra Ave
Fontana, CA 92336-3329

Mailing address

7965 Sierra Ave
Fontana, CA 92336-3329
Phone (909) 356-4459

Other identifiers 1

IdentifierTypeStateIssuer
00A54098MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000581 CA Practitioner - Family Practice 3779650726 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54098CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc CurrentSince Mar 5, 2014 Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients
San Marcos Medical Group Inc. Family Medicine Past Accepting new patients

Locations

7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

7965 Sierra Ave
Fontana, CA 92336
Phone (909) 356-4459

4990 Arlington Ave
Ste D
Riverside, CA 92504
Phone (909) 785-9011

7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475884800000",
    "number": "1760428445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363329",
            "telephone_number": "909-356-4459",
            "fax_number": "909-355-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363329",
            "telephone_number": "909-356-4459",
            "fax_number": "909-355-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATANI",
        "first_name": "MONIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A54098",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.