MONTES MEDICAL GROUP INC (NPI# 1093809592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093809592 |
| Entity Type | Organization |
| Organization Name | MONTES MEDICAL GROUP INC |
| Other Organization Name | MONTES MEDICAL GROUP INC |
| Practice Address |
832 S. Grevillea Ave. Inglewood CA 90301-3312 |
| Practice Telephone | 3104194354 |
| Practice Fax Number | 3104194621 |
| Mailing Telephone | 3104194354 |
| Mailing Fax Number | 3104194621 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | DR. JUAN ZEPEDA MONTES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3104194354 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0026811 | 05 |
| Other Name | Type Code |
|---|---|
| MONTES MEDICAL GROUP INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650120 | Montes Medical Group Inc | Family Medicine | 12533 Washington Blvd Ste B, Whittier, CA 90602-1010 | 2020-05-13 |
| 1437487956 | Montes Medical Group Inc | Internal Medicine | 4545 E 3rd St, #102, Los Angeles, CA 90022-1656 | 2009-11-20 |
| 1700055746 | Montes Medical Group Inc | Family Medicine | 13820 San Antonio Dr, Norwalk, CA 90650-4033 | 2008-02-25 |
| 1982873162 | Montes Medical Group Inc | Family Medicine | 11822 Floral Dr, Whittier, CA 90601-2900 | 2008-02-21 |
| Street Address |
832 S. GREVILLEA AVE. |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609086727 | Progressive Medical Group | Internal Medicine | 1035 S Prairie Ave, Ste. 1, Inglewood, CA 90301-5272 | 2007-05-24 |
| 1285711812 | Luzviminda T Montecillo Md A Professional Corporation | Internal Medicine | 645 Aerick Street, Suite 1, Inglewood, CA 90301-4882 | 2006-11-01 |
| 1134132798 | Jamshid Niknam | Internal Medicine | 401 S La Brea Ave Ste 205, Inglewood, CA 90301-2321 | 2006-08-14 |
| 1114946191 | John C. Weaver Jr. | Internal Medicine | 1035 S Prairie Ave Ste 1, Inglewood, CA 90301-5273 | 2006-07-19 |
| 1255358214 | Orlando H. Pile,md A Professional Medical Corporation | Internal Medicine | 140 W Queen St, Inglewood, CA 90301-1726 | 2006-07-16 |
| 1326073081 | Keith E Damsker | Internal Medicine | 110 N La Brea Ave, Inglewood, CA 90301-1708 | 2006-07-11 |
| 1992745285 | Mehran Sourehnissani | Internal Medicine | 3451 W Century Blvd, B-1, Inglewood, CA 90303-1227 | 2006-06-07 |
| 1760438725 | Babak Baradar-bokaie Md Inc | Internal Medicine | 511 East Manchester Blvd, Inglewood, CA 90301-1907 | 2006-05-25 |
| 1184611816 | Henri C Atkinson | Internal Medicine | 8420 S 8th Ave, Inglewood, CA 90305-1333 | 2005-09-27 |
| 1265437925 | Cranford Lavern Scott | Internal Medicine | 233 N Prairie Ave, Inglewood, CA 90301-1412 | 2005-06-17 |
| Find all providers in INGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.