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

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: August 09, 2026.

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

Other Providers at the Same Location NPPES

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

DR. MARTIN JAY PORCELLI D.O.
Family Medicine
336 ERVILLA ST
POMONA, CA 91767
Los Angeles County (909) 620-1955

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.

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.