M. JAY PORCELLI DO A MEDICAL CORPORATION NPI 1679998694

NPI Information

NPI: 1679998694
Provider Name: M. JAY PORCELLI DO A MEDICAL CORPORATION
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
336 ERVILLA ST
POMONA, CA
ZIP 91767
Phone: (909) 620-1955
Get Directions

M. JAY PORCELLI DO A MEDICAL CORPORATION is a geriatric medicine family medicine in Pomona, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. M. JAY PORCELLI DO A MEDICAL CORPORATION NPI is 1679998694. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

336 ERVILLA ST
POMONA, CA
ZIP 91767-016
Phone: (909) 620-1955
Fax: (909) 623-0720

The provider's authorized official is Martin Jay Porcelli .
The authorized official title is Ceo & President and has the following contact phone number (909) 620-1955.

The enumeration date for this NPI number is 2/27/2014 and was last updated on 3/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0000X	Pain Medicine	Pain Medicine	20A4403	CALIFORNIA	No
2	207QG0300X	Family Medicine	Geriatric Medicine	20A4403	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20A4403	MEDICAID	CALIFORNIA
2	A93579	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »