Individual provider · Type 1 NPI

Ivan Omar Miramontes

Community Health Worker · Montclair, CA

NPI number 1053272997 Active

Practice location

5625 Kingsley St
Montclair, CA 91763-3948

Call (909) 984-3634 Map

Mailing address

950 W D St
Ontario, CA 91762-3026

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1053272997

Ivan Omar Miramontes's National Provider Identifier is 1053272997, issued on Nov 20, 2025. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Montclair, CA. The record was last updated on Nov 20, 2025.