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MRS. JOSEPHINE BAISA MONTANA M.D
NPI 1417984782
Family Medicine in Upland, CA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
820 N MOUNTAIN AVE STE 103, UPLAND, CA 91786(909) 236-5575(909) 222-6936 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2025, Jul 27, 2018, Jul 20, 2018 (3 updates tracked since 2018).

About Mrs. Josephine Baisa Montana M.d NPPES

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

MRS. JOSEPHINE BAISA MONTANA M.D (NPI 1417984782) is an individual family medicine provider in Upland, California, licensed in California (C54399) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1417984782
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. JOSEPHINE BAISA MONTANACredential: M.D
Location Address820 N MOUNTAIN AVE STE 103Upland, CA 91786-4163
Mailing Address820 N Mountain Ave Ste 103Upland, CA 91786-4163 · (909) 236-5575 · Fax (909) 222-6936
Phone(909) 236-5575
Fax(909) 222-6936
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1417984782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C54399
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
Open in Google Maps ↗

Other Identifiers 1

OtherC54399CA · Ca State License

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

Mrs. Josephine Baisa Montana M.d 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.

PECOS PAC ID6204017767
PECOS Enrollment IDI20110217000084
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Josephine Montana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montana Affinity Clinic LLC
Same address
Family Medicine
820 N MOUNTAIN AVE STE 103
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
NPI 1205435864 (909) 236-5575
Aaa Family Medical Group
33 mi
Family Medicine
11949 HESPERIA RD STE B
Hesperia, CA 92345
  • Reassigned Medicare billing, California enrollment
NPI 1396147419 (760) 242-5111

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 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

MONTANA AFFINITY CLINIC LLC
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 Josephine Montana's NPI number?

The NPI number for Josephine Montana is 1417984782. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Josephine Montana located?

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

What is Josephine Montana's specialty?

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

Is Josephine Montana enrolled in Medicare?

Yes. Josephine Montana 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 organizations bill Medicare for Josephine Montana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josephine Montana reassigns Medicare benefits to 2 organizations: Montana Affinity Clinic LLC (Upland, CA) and Aaa Family Medical Group (Hesperia, CA). Each 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 Josephine Montana'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 Josephine Montana 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 15 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.