Montana Affinity Clinic LLC
NPI 1205435864 · Family Medicine Physician · Upland, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Montana Affinity Clinic LLC is a Family Medicine Physician organization in Upland, CA (NPI 1205435864).
Provider details
- NPI number
- 1205435864
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Josephine Montana, Owner(909) 236-5575
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Montana Affinity Clinic LLC
- Other name
- Montana Affinity Clinic LLC
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Frequently asked questions
- What is Montana Affinity Clinic LLC's NPI number?
- Montana Affinity Clinic LLC's National Provider Identifier (NPI) is 1205435864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Montana Affinity Clinic LLC?
- Montana Affinity Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Montana Affinity Clinic LLC located?
- Montana Affinity Clinic LLC's practice location on file with NPPES is 820 N Mountain Ave Ste 103, Upland, CA 91786-0000.
- What is Montana Affinity Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Montana Affinity Clinic LLC is (909) 236-5575.
- Does Montana Affinity Clinic LLC accept Medicare?
- Montana Affinity Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Montana Affinity Clinic LLC?
- The authorized official listed on Montana Affinity Clinic LLC's NPPES record is Josephine Montana, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Montana Affinity Clinic LLC's NPI active?
- Yes — Montana Affinity Clinic LLC's NPI (1205435864) is active in the NPPES registry as of the last update on 2025-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.