MONTCLAIR EMERGENCY MEDICAL ASSOCIATES (NPI# 1316044696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316044696 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR EMERGENCY MEDICAL ASSOCIATES |
| Practice Address |
5000 San Bernardino St Montclair CA 91763-2326 |
| Mailing Address |
Po Box 80456 City of Industry CA 91716-8402 |
| Practice Telephone | 9096258307 |
| Practice Fax Number | 9096258255 |
| Mailing Telephone | 3103792134 |
| Mailing Fax Number | 3103794856 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | MISS JUSTINE GUEVARA (DEPARTMENT COORDINATOR) |
| Authorized Official Telephone | 4242411546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0104390 | 05 |
| Street Address |
5000 SAN BERNARDINO ST |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749921 | Renaissance Radiology Medical Group, Inc. | Radiology | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2005-11-30 |
| 1669961801 | David Nguyen | Student in an Organized Health Care Education/Training Program | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2018-05-03 |
| 1619405875 | Erik Douglas Wiele | General Practice | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2017-05-31 |
| 1174051437 | Nageena Potluri | Family Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2017-05-31 |
| 1881122315 | Edward Tsung Lin | Family Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2017-05-29 |
| 1609247683 | Glenn Bryan Morataya | Pharmacist | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2015-10-15 |
| 1639427842 | Montclair Emergency Medical Associates, Inc. | Emergency Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2012-08-17 |
| 1912041013 | Doctors' Hospital Medical Center of Montclair | General Acute Care Hospital | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2007-02-20 |
| 1396759643 | Minn Soe | Anesthesiology | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2006-07-29 |
| 1992721161 | Prime Healthcare Services - Montclair, LLC | General Acute Care Hospital | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2006-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1598112146 | Emergency Associates of Montclair LLC | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2016-05-24 |
| 1356721195 | Lani Mendelson | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2015-06-07 |
| 1558774687 | Amanda Alberino-catapano | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2014-06-05 |
| 1316361637 | Viktor Livshits | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2014-02-06 |
| 1639427842 | Montclair Emergency Medical Associates, Inc. | Emergency Medicine | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2012-08-17 |
| 1750667283 | Lisa Leuchten | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2011-10-28 |
| 1518103118 | Chameeka Olivia Barrett | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2009-01-02 |
| 1487856316 | Krista Bilbraut | Emergency Medicine | 1 Bay Ave, Montclair, Montclair, NJ 07042-4837 | 2007-06-04 |
| 1255533188 | Radha Kotamraju | Emergency Medicine | 1 Bay Ave, Montclair, NJ 07042-4837 | 2007-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.