DR. JUSTIN PAUL DELATORE D.O
NPI 1376950857
Family Medicine in Montclair, CA
About Dr. Justin Paul Delatore D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN PAUL DELATORE D.O (NPI 1376950857) is an individual family medicine provider in Montclair, California, licensed in California (20A14654) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Un Of California, Irvine, College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Justin Paul Delatore D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Justin Delatore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MONTCLAIR, CA 91763
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 Justin Delatore's NPI number?
The NPI number for Justin Delatore is 1376950857. It was assigned to this individual provider in the NPPES registry on July 17, 2014.
Where is Justin Delatore located?
Justin Delatore practices at 5050 San Bernardino St, Montclair, CA 91763. The listed phone number is (909) 281-5800.
What is Justin Delatore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Justin Delatore enrolled in Medicare?
Yes. Justin Delatore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Justin Delatore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Delatore reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The 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 Justin Delatore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Justin Delatore was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Justin Paul Delatore, D.O · NPI 1376950857
Family Medicine physician in Montclair, California. Individual provider, active in the CMS NPPES registry since July 17, 2014.
## Identity
- **NPI:** 1376950857 (Entity type: Individual)
- **Enumerated:** July 17, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A14654 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5050 SAN BERNARDINO ST, Montclair, CA 91763-2326
- **Phone:** (909) 281-5800 · **Fax:** (909) 281-5858
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1396287082, Chino Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** December 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376950857) · Data from the CMS NPPES public registry.