Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Montclair Community Clinic

Organization Internal Medicine Physician · NPI 1538908074

Montclair Community Clinic is an Internal Medicine Physician in Montclair, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

9655 Monte Vista Ave Ste 402A
Montclair, CA 91763-2238
Phone: (909) 972-0924
Fax: (909) 966-4987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1538908074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenoye Uku — Owner · (206) 456-6933
NPI enumeratedMay 23, 2024
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address9655 Monte Vista Ave Ste 402a, Montclair, CA 91763-2238

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