Organization Active NPI

Life Point Medical and Urgent Care Inc

  • Multi-Specialty Clinic/Center
  • Montclair, CA
National Provider Identifier
1770962201
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LIFE POINT MEDICAL AND URGENT CARE INC
Practice address
9057 Central Ave
Montclair, CA 91763-1622
Phone
(909) 398-4958
Fax
(909) 398-4979
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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

Authorized official

Name
Ms. Noreen Wayne Bass
Title
Administrator
Phone
(909) 398-4958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9057 Central Ave
Montclair, CA 91763-1622

Mailing address

9057 Central Ave
Montclair, CA 91763-1622
Phone (909) 398-4958

National Provider Directory

National Provider Directory

Locations

310 W B St
Ontario, CA 91762
Phone (909) 391-3222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570233600000",
    "number": "1770962201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9057 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631622",
            "telephone_number": "909-398-4958",
            "fax_number": "909-398-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631622",
            "telephone_number": "909-398-4958",
            "fax_number": "909-398-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE POINT MEDICAL AND URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2019-10-05",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-398-4958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Oct 5, 2019; 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.