MARY BLACK-WILLIAMS NP
NPI 1114013026
Nurse Practitioner - Women's Health in Montclair, CA

Active since October 05, 2006
5050 SAN BERNARDINO ST, MONTCLAIR, CA 91763(909) 626-2463(909) 624-6297 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Black-williams Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BLACK-WILLIAMS NP (NPI 1114013026) is an individual women's health provider in Montclair, California, licensed in California (231324) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114013026
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARY BLACK-WILLIAMSCredential: NP
Location Address5050 SAN BERNARDINO STMontclair, CA 91763-2326
Mailing Address3050 E Airport WayLong Beach, CA 90806-2404 · (562) 432-6966 · Fax (562) 426-4227
Fax(909) 624-6297
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114013026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 231324
5050 SAN BERNARDINO ST, Montclair, CA 91763

Other Identifiers 1

OtherRN2313240CA · Medi-cal

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Family Medicine
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Family Medicine
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Family Medicine
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Physician Assistant
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Physician Assistant
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Podiatrist (Foot & Ankle Surgery)
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763
Clinic/Center (Community Health)
5050 SAN BERNARDINO ST
MONTCLAIR, CA 91763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Black-williams's NPI number?

The NPI number for Mary Black-williams is 1114013026. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Mary Black-williams located?

Mary Black-williams practices at 5050 San Bernardino St, Montclair, CA 91763. The listed phone number is (909) 626-2463.

What is Mary Black-williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Mary Black-williams was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.