Montclair Community Clinic
NPI 1538908074 · Internal Medicine Physician · Montclair, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Montclair Community Clinic is a Internal Medicine Physician organization in Montclair, CA (NPI 1538908074).
Provider details
- NPI number
- 1538908074
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenoye Uku, Owner(206) 456-6933
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Registry dates
- Enumerated
- 2024-05-23
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Montclair Community Clinic's NPI number?
- Montclair Community Clinic's National Provider Identifier (NPI) is 1538908074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Montclair Community Clinic?
- Montclair Community Clinic is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Montclair Community Clinic located?
- Montclair Community Clinic's practice location on file with NPPES is 9655 Monte Vista Ave Ste 402a, Montclair, CA 91763-2238.
- What is Montclair Community Clinic's phone number?
- The practice phone number listed in the NPPES registry for Montclair Community Clinic is (909) 972-0924.
- Does Montclair Community Clinic accept Medicare?
- Montclair Community Clinic 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 Montclair Community Clinic?
- The authorized official listed on Montclair Community Clinic's NPPES record is Kenoye Uku, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Montclair Community Clinic's NPI active?
- Yes — Montclair Community Clinic's NPI (1538908074) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.