Montclair Community Clinic - Medicare Primary Care in Montclair, CA

Montclair Community Clinic is a medicare enrolled primary clinic (Internal Medicine) in Montclair, California. The current practice location for Montclair Community Clinic is 9655 Monte Vista Ave Ste 402a, Montclair, California. For appointments, you can reach them via phone at (909) 972-0924. The mailing address for Montclair Community Clinic is 9655 Monte Vista Ave Ste 402a, Montclair, California and phone number is (909) 972-0924.

Montclair Community Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538908074. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (909) 972-0924.

Contact Information

Montclair Community Clinic
9655 Monte Vista Ave Ste 402a
Montclair
CA 91763-2238
(909) 972-0924
(909) 966-4987

Map and Direction


Primary Care Clinic Profile

Full NameMontclair Community Clinic
SpecialityInternal Medicine
Location9655 Monte Vista Ave Ste 402a, Montclair, California
Authorized Official Name and PositionKenoye R Uku (OWNER)
Authorized Official Contact2064566933
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Montclair Community Clinic
9655 Monte Vista Ave Ste 402a
Montclair
CA 91763-2238

Ph: (909) 972-0924
Montclair Community Clinic
9655 Monte Vista Ave Ste 402a
Montclair
CA 91763-2238

Ph: (909) 972-0924

NPI Details:

NPI Number1538908074
Provider Enumeration Date05/23/2024
Last Update Date03/11/2026

Medicare PECOS Information:

Medicare PECOS PAC ID1052851011
Medicare Enrollment IDO20240905002751

Medical Identifiers

Medical identifiers for Montclair Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538908074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Montclair Community Clinic acts as a billing entity for following providers:
Provider NameKenoye R Uku
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013084920
PECOS PAC ID: 1254462690
Enrollment ID: I20100628000973
Provider NameEse Ogbetuo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417423138
PECOS PAC ID: 4385073337
Enrollment ID: I20200326002912
Provider NameRerhime Reri Uku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659906147
PECOS PAC ID: 8022485754
Enrollment ID: I20221206002274

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.