Active NPI
Life Point Medical and Urgent Care Inc
- Multi-Specialty Clinic/Center
- Montclair, CA
National Provider Identifier
1770962201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Internal Medicine Physician
- Downey, CA
- NPI 1689786733
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.