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KENCANA HEALTHCARE INC
NPI 1811784564
Internal Medicine in Montclair, CA

Active since April 24, 2025
9525 MONTE VISTA AVE UNIT 105, MONTCLAIR, CA 91763(909) 626-1205 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kencana Healthcare Inc NPPES

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

KENCANA HEALTHCARE INC (NPI 1811784564) is a healthcare organization registered as an internal medicine in Montclair, California and active in the NPI registry since April 2025. The organization lists Dion Adiputra Kencana, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811784564
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKENCANA HEALTHCARE INC
Location Address9525 MONTE VISTA AVE UNIT 105Montclair, CA 91763-2208
Mailing Address217 N Lincoln Ave Apt AMonterey Park, CA 91755-1729 · (714) 580-3071
Phone(909) 626-1205
Organization SubpartNo
Authorized OfficialDion Adiputra KencanaCeo · (714) 580-3071
Enumeration DateApril 24, 2025
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1811784564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9525 MONTE VISTA AVE UNIT 105, Montclair, CA 91763
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

THA SOK DO
Internal Medicine
9525 MONTE VISTA AVE UNIT 105
MONTCLAIR, CA 91763
San Bernardino County (909) 626-1205
DION ADIPUTRA KENCANA MD
Internal Medicine
9525 MONTE VISTA AVE UNIT 105
MONTCLAIR, CA 91763
San Bernardino County (909) 626-1205

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 Kencana Healthcare Inc's NPI number?

The NPI number for Kencana Healthcare Inc is 1811784564. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Kencana Healthcare Inc located?

Kencana Healthcare Inc is located at 9525 Monte Vista Ave Unit 105, Montclair, CA 91763. The listed phone number is (909) 626-1205.

What is Kencana Healthcare Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kencana Healthcare Inc was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.