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MONTANA AFFINITY CLINIC LLC
NPI 1205435864
Family Medicine in Upland, CA

Active since October 23, 2020
820 N MOUNTAIN AVE STE 103, UPLAND, CA 91786(909) 236-5575 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Jan 6, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2020).

About Montana Affinity Clinic Llc NPPES

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

MONTANA AFFINITY CLINIC LLC (NPI 1205435864) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since October 2020. The organization lists Josephine Baisa Montana, Owner, as its authorized official.

NPPES Registry Identity

NPI1205435864
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMONTANA AFFINITY CLINIC LLC
Location Address820 N MOUNTAIN AVE STE 103Upland, CA 91786-0000
Mailing Address820 N Mountain Ave Ste 103Upland, CA 91786-4163 · (909) 236-5575 · Fax (909) 222-6936
Phone(909) 236-5575
Organization SubpartNo
Authorized OfficialJosephine Baisa MontanaOwner · (909) 236-5575
Enumeration DateOctober 23, 2020
Last NPPES UpdateJune 26, 20254 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1205435864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 N MOUNTAIN AVE STE 103, Upland, CA 91786
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Other Names 1

Other NameMontana Affinity Clinic Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. JOSEPHINE BAISA MONTANA M.D
Family Medicine
820 N MOUNTAIN AVE STE 103
UPLAND, CA 91786
San Bernardino County (909) 236-5575

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 Montana Affinity Clinic LLC's NPI number?

The NPI number for Montana Affinity Clinic LLC is 1205435864. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Montana Affinity Clinic LLC located?

Montana Affinity Clinic LLC is located at 820 N Mountain Ave Ste 103, Upland, CA 91786. The listed phone number is (909) 236-5575.

What is Montana Affinity Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Montana Affinity Clinic LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.