# CENTRAL MEDICAL PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Above Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366287708
- **Authorized official:** DR. JANE T HIMMELVO MD (CEO)
- **Authorized official phone:** (432) 294-5833

## Contact information

- **Practice address:** 8891 N CENTRAL AVE, SUITE A, MONTCLAIR, CA 91763
- **Practice address phone:** (432) 294-5833
- **Practice address fax:** (909) 621-1397
- **Mailing address:** 8891 CENTRAL AVE STE A, MONTCLAIR, CA 91763-1685
- **Mailing address phone:** (909) 297-3361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 06/08/2026