MONTCLAIR VIDA HEALTH CLINIC PC
NPI 1699034827
Clinic/Center - Health Service in Montclair, CA

Q: 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.

Q: 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.

Active since May 08, 2012

5404 MORENO ST, SUITE N&P, MONTCLAIR, CA 91763(909) 949-4400(909) 949-4441 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1699034827

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameMONTCLAIR VIDA HEALTH CLINIC PC

Location Address5404 MORENO ST, SUITE N&PMontclair, CA 91763

Mailing Address5404 Moreno St, Suite N&pMontclair, CA 91763-1667 · (909) 949-4400 · Fax (909) 949-4441

Phone(909) 949-4400

Fax(909) 949-4441

Organization SubpartNo

Authorized OfficialGinger L LeonMedical Director · (909) 949-4400

Enumeration DateMay 8, 2012

Last NPPES UpdateJune 7, 2018

✔ NPI 1699034827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

License✔ Licensed in CA · 20A8311

5404 MORENO ST, Montclair, CA 91763

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Other Providers at the Same Location NPPES 3

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

MARTIN MADRIGAL PA-C

Physician Assistant (Medical)

5404 MORENO ST, SUITE N
MONTCLAIR, CA 91763

San Bernardino County (909) 949-4400

DR. GINGER LINA LEON D.O.

Family Medicine

5404 MORENO ST, STE. N
MONTCLAIR, CA 91763

San Bernardino County (909) 949-4400

LEON FOREFRONT MEDICAL SERVICES INC.

Family Medicine

5404 MORENO ST
MONTCLAIR, CA 91763

San Bernardino County (714) 335-7495

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.

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.