MONTCLAIR VIDA HEALTH CLINIC PC
NPI 1699034827
Clinic/Center - Health Service in Montclair, CA
About Montclair Vida Health Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONTCLAIR VIDA HEALTH CLINIC PC (NPI 1699034827) is a healthcare organization registered as a health service in Montclair, California and active in the NPI registry since May 2012. The organization lists Ginger L Leon, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Montclair Vida Health Clinic Pc 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 Montclair Vida Health Clinic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Montclair Vida Health Clinic PC's NPI number?
The NPI number for Montclair Vida Health Clinic PC is 1699034827. It was assigned to this organization in the NPPES registry on May 8, 2012.
Where is Montclair Vida Health Clinic PC located?
Montclair Vida Health Clinic PC is located at 5404 Moreno St Suite N&p, Montclair, CA 91763. The listed phone number is (909) 949-4400.
What is Montclair Vida Health Clinic PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Montclair Vida Health Clinic PC enrolled in Medicare?
Yes. Montclair Vida Health Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Montclair Vida Health Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Montclair Vida Health Clinic PC. 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 Montclair Vida Health Clinic PC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Montclair Vida Health Clinic Pc · NPI 1699034827
Health Service organization in Montclair, California. Organization record, active in the CMS NPPES registry since May 8, 2012.
## Identity
- **NPI:** 1699034827 (Entity type: Organization)
- **Enumerated:** May 8, 2012
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Ginger Leon, MEDICAL DIRECTOR
## Practice location
- **Address:** 5404 MORENO ST, SUITE N&P, Montclair, CA 91763
- **Phone:** (909) 949-4400 · **Fax:** (909) 949-4441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1699034827) · Data from the CMS NPPES public registry.