HOLT MEDICAL CORPORATION
NPI 1285721571
Clinic/Center - Multi-Specialty in Montclair, CA

Active since October 06, 2006CLIA 05D1040925 · Waiver
5153 HOLT BLVD STE B1, MONTCLAIR, CA 91763(909) 603-9000(909) 603-9008 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holt Medical Corporation NPPES

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

HOLT MEDICAL CORPORATION (NPI 1285721571) is a healthcare organization registered as a multi-specialty in Montclair, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Sohrab Salamatipour, Owner, as its authorized official.

NPPES Registry Identity

NPI1285721571
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameHOLT MEDICAL CORPORATION
Location Address5153 HOLT BLVD STE B1Montclair, CA 91763-4820
Mailing Address5153 Holt Blvd Ste B1Montclair, CA 91763-4837 · (909) 603-9000 · Fax (909) 603-9008
Fax(909) 603-9008
Organization SubpartNo
Authorized OfficialSohrab SalamatipourOwner · (909) 603-9000
Enumeration DateOctober 6, 2006
Last NPPES UpdateFebruary 22, 2016
✔ NPI 1285721571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in CA · A63781
5153 HOLT BLVD STE B1, Montclair, CA 91763

Other Identifiers 1

MedicaidGR0101080CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holt Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Holt Medical Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1093752248
1433 W MERCED AVE SUITE 220
West Covina, CA 91790
(626) 856-5500
✔ PECOS✔ Accepts Medicare15 mi
Pediatric Medicine
NPI 1003957077
775 N TUSTIN ST
Orange, CA 92867
(714) 628-8888
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1040925

Holt Medical Center Inc · Montclair, CA
Active · expires May 19, 2027
CLIA Number05D1040925
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorSohrab Salamati-Pour MD
Laboratory Phone(909) 603-9000
Laboratory LocationHolt Medical Center Inc5153 Holt Blvd Suite B, Montclair, CA 91763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Holt Medical Corporation's NPI number?

The NPI number for Holt Medical Corporation is 1285721571. It was assigned to this organization in the NPPES registry on October 6, 2006.

Where is Holt Medical Corporation located?

Holt Medical Corporation is located at 5153 Holt Blvd Ste B1, Montclair, CA 91763. The listed phone number is (909) 603-9000.

What is Holt Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Holt Medical Corporation enrolled in Medicare?

Yes. Holt Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holt Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Holt Medical Corporation, in Family Practice and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Holt Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1040925) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holt Medical Corporation was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.