| NPI | 1205435864 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2020-10-23 |
| Last Updated | 2025-06-26 |
| Authorized Official | Josephine Montana OWNER Phone: 9092365575 |
| Mailing Address | 820 N Mountain Ave Ste 103 Upland, CA 91786-4163 United States Phone: (909) 236-5575 | Fax: (909) 222-6936 📍 View Map |
| Primary Practice Address | 820 N Mountain Ave Ste 103 Upland, CA 91786-0000 United States Phone: (909) 236-5575 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | - | - |
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About NPI 1205435864
Montana Affinity Clinic Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1205435864. The primary specialty listed is Family Medicine. The organization is located in Upland, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-10-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1205435864?
NPI 1205435864 belongs to Montana Affinity Clinic Llc, a Family Medicine in Upland, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1205435864 active?
The current status of NPI 1205435864 in the NPPES registry is Active. The record was last updated on 2025-06-26.
What specialty is NPI 1205435864?
NPI 1205435864 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1205435864?
You can verify NPI 1205435864 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1205435864?
The primary practice address on file for NPI 1205435864 is 820 N Mountain Ave Ste 103, Upland, CA 91786-0000. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1205435864 issued?
NPI 1205435864 was first issued (enumerated) on 2020-10-23. The NPPES record was last updated on 2025-06-26.
Practice Location Map
Montana Affinity Clinic Llc is located at 820 N Mountain Ave Ste 103, Upland, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Montana Affinity Clinic Llc. All records sourced from the CMS NPPES registry.