Active NPI
Doctors' Hospital Medical Center of Montclair
- General Acute Care Hospital
- Montclair, CA
National Provider Identifier
1912041013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- DOCTORS' HOSPITAL MEDICAL CENTER OF MONTCLAIR
- Practice address
- 5000 San Bernardino St
Montclair, CA 91763-2326 - Phone
- (626) 457-7938
- Fax
- (626) 457-7908
- NPI assigned
- Feb 20, 2007
- 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. Linda Marsh
- Title
- Chief Financial Officer
- Phone
- (626) 457-7938
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | CA | Primary |
Addresses
Primary practice location
5000 San Bernardino St
Montclair, CA 91763-2326
Mailing address
5000 San Bernardino St
Montclair, CA 91763-2326
Phone (626) 457-7938
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSC30584I | Medicaid | CA | |
| HSP40584I | Medicaid | CA | |
| ZZZA3613Z | Other | CA | BLUE SHIELD OF CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912041013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SAN BERNARDINO ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632326",
"telephone_number": "626-457-7938",
"fax_number": "626-457-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SAN BERNARDINO ST",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632326",
"telephone_number": "626-457-7938",
"fax_number": "626-457-7908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS' HOSPITAL MEDICAL CENTER OF MONTCLAIR",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "626-457-7938",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC30584I",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40584I",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZA3613Z",
"state": "CA"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.