Organization Active NPI

Carrillo, Urbina & Castuera Inc

Doing business as clinica medica el buen samaritano

  • General Practice Physician
  • Montclair, CA
National Provider Identifier
1811184526
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A71133 Issued in CA
Legal business name
CARRILLO, URBINA & CASTUERA INC
Doing business as
clinica medica el buen samaritano
Practice address
4451 Holt Blvd
Montclair, CA 91763-4116
Phone
(909) 624-3033
Fax
(909) 624-8440
NPI assigned
Sep 26, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Marvin E Urbina, MD
Title
President
Phone
(909) 624-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A71133 CA Primary

Addresses

Primary practice location

4451 Holt Blvd
Montclair, CA 91763-4116

Mailing address

4451 Holt Blvd
Montclair, CA 91763-4116
Phone (909) 624-3033

Other names 1

  • clinica medica el buen samaritano Doing business as

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
05D1028080Clinica Medica El Buen Samaritano4451 Holt Blvd, Montclair, CA 91763Certificate of waiverJul 19, 2028

National Provider Directory

National Provider Directory

Locations

4451 Holt Blvd
Montclair, CA 91763
Phone (909) 624-3033

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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1811184526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 HOLT BLVD",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634116",
            "telephone_number": "909-624-3033",
            "fax_number": "909-624-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 HOLT BLVD",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634116",
            "telephone_number": "909-624-3033",
            "fax_number": "909-624-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRILLO, URBINA & CASTUERA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-624-3033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A71133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clinica medica el buen samaritano",
            "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 Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.