M. JAY PORCELLI DO A MEDICAL CORPORATION
NPI 1679998694
Family Medicine - Geriatric Medicine in Pomona, CA

Q: What is M. Jay Porcelli Do A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since February 27, 2014

336 ERVILLA ST, POMONA, CA 91767(909) 620-1955(909) 623-0720 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About M. Jay Porcelli Do A Medical Corporation NPPES

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

M. JAY PORCELLI DO A MEDICAL CORPORATION (NPI 1679998694) is a healthcare organization registered as a geriatric medicine in Pomona, California and active in the NPI registry since February 2014. The organization lists Martin Jay Porcelli, Ceo & President, as its authorized official.

NPPES Registry Identity

NPI1679998694

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameM. JAY PORCELLI DO A MEDICAL CORPORATION

Location Address336 ERVILLA STPomona, CA 91767-3016

Mailing Address336 Ervilla StPomona, CA 91767-3016 · (909) 620-1955 · Fax (909) 623-0720

Phone(909) 620-1955

Fax(909) 623-0720

Organization SubpartNo

Authorized OfficialMartin Jay PorcelliCeo & President · (909) 620-1955

Enumeration DateFebruary 27, 2014

Last NPPES UpdateMarch 11, 2014

✔ NPI 1679998694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in CA · 20A4403

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 20A4403 (CA)

336 ERVILLA ST, Pomona, CA 91767

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Other Identifiers 2

Medicaid20A4403CA

Medicare UPINA93579CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M. Jay Porcelli Do A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to M. Jay Porcelli Do A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Martin Porcelli, D.O.

Family Practice

NPI 1124096847

336 ERVILLA ST
Pomona, CA 91767

(909) 620-1955

✔ PECOSSame address

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

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 M. Jay Porcelli Do A Medical Corporation's NPI number?

The NPI number for M. Jay Porcelli Do A Medical Corporation is 1679998694. It was assigned to this organization in the NPPES registry on February 27, 2014.

Where is M. Jay Porcelli Do A Medical Corporation located?

M. Jay Porcelli Do A Medical Corporation is located at 336 Ervilla St, Pomona, CA 91767. The listed phone number is (909) 620-1955.

What is M. Jay Porcelli Do A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is M. Jay Porcelli Do A Medical Corporation enrolled in Medicare?

Yes. M. Jay Porcelli Do A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M. Jay Porcelli Do A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to M. Jay Porcelli Do A Medical Corporation. 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.

When was this NPI record last updated?

The NPPES record for M. Jay Porcelli Do A Medical Corporation was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.