Organization · Type 2 NPI

Montana Affinity Clinic LLC

Family Medicine Physician · Upland, CA

NPI number 1205435864 Active

Practice location

820 N Mountain Ave Ste 103
Upland, CA 91786-0000

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Josephine Baisa Montana, MDFamily Medicine Physician Upland, CA NPI 1417984782

Other family medicine physician providers in Upland

See all in Upland →

NPI record

NPI: 1205435864
Entity type: Organization (Type 2)
Issued: Oct 23, 2020
Last updated: Jun 26, 2025
Status: Active

Other names

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Montana Affinity Clinic LLC · other name
Montana Affinity Clinic LLC · other name

Authorized official

Dr. Josephine Baisa Montana, MD
Owner
(909) 236-5575

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205435864

Montana Affinity Clinic LLC's National Provider Identifier is 1205435864, issued on Oct 23, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Upland, CA. The record was last updated on Jun 26, 2025.