PROS MEDICAL CLINIC, INC.
NPI 1942567854
Clinic/Center - Primary Care in Montclair, CA
About Pros Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROS MEDICAL CLINIC, INC. (NPI 1942567854) is a healthcare organization registered as a primary care in Montclair, California and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Jonathan Martinez, Vice President, 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)
Pros Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pros Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2043491
Pros Medical Clinic Inc · Montclair, CAFrequently 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 Pros Medical Clinic, Inc.'s NPI number?
The NPI number for Pros Medical Clinic, Inc. is 1942567854. It was assigned to this organization in the NPPES registry on April 16, 2012.
Where is Pros Medical Clinic, Inc. located?
Pros Medical Clinic, Inc. is located at 4959 Palo Verde St Ste. 101A, Montclair, CA 91763. The listed phone number is (909) 621-2562.
What is Pros Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pros Medical Clinic, Inc. enrolled in Medicare?
Yes. Pros Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pros Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pros Medical Clinic, Inc., in Family Practice and General Practice. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pros Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2043491) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pros Medical Clinic, Inc. was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Pros Medical Clinic, Inc. · NPI 1942567854
Primary Care organization in Montclair, California. Organization record, active in the CMS NPPES registry since April 16, 2012.
## Identity
- **NPI:** 1942567854 (Entity type: Organization)
- **Enumerated:** April 16, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jonathan Martinez, VICE PRESIDENT
## Practice location
- **Address:** 4959 PALO VERDE ST, STE. 101A, Montclair, CA 91763-2331
- **Phone:** (909) 621-2562 · **Fax:** (909) 621-2480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), General Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942567854) · Data from the CMS NPPES public registry.