DR. CHARLES H MONTGOMERY (NPI# 1689730772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689730772 |
| Entity Type | Individual |
| Full Name | DR. CHARLES H MONTGOMERY |
| Credential | M.D. |
| Practice Address |
111 Deerwood Rd Suite 360 San Ramon CA 94583-4409 |
| Mailing Address |
3680 Deer Trail Dr Danville CA 94506-6020 |
| Practice Telephone | 9257368584 |
| Practice Fax Number | 9258863306 |
| Mailing Telephone | 9257368583 |
| Mailing Fax Number | 9258863306 |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A69876 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A69876 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841787967 | Charles Montgomery | Counselor | 190 Lime Quarry Rd Ste 212, Madison, AL 35758-8976 | 2018-04-13 |
| 1720148745 | Charles Robert Montgomery Jr. | Dentist | 302 Mackenzie Dr, Jackson, NJ 08527-1184 | 2006-12-11 |
| 1437156197 | Charles W Montgomery | Internal Medicine | 961south Gloster Street, Tupelo, MS 38801 | 2005-07-07 |
| 1952477077 | Charles A Montgomery | Family Medicine | 109 E Church St, Greeneville, TN 37745-5603 | 2006-11-28 |
| 1679661383 | Charles J Montgomery | Ophthalmology | 700 Neapolitan Way, Naples, FL 34103-8570 | 2006-10-10 |
| 1518916212 | Charles E Montgomery | Orthopaedic Surgery | 1601 Chase Rd, Logansport, IN 46947-1538 | 2006-05-09 |
| 1235107913 | Charles Montgomery II | Anesthesiology | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2006-03-09 |
| Street Address |
111 DEERWOOD RD SUITE 360 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799922 | Yshay Shlesinger | Internal Medicine | 111 Deerwood Rd, Suite 180, San Ramon, CA 94583-2197 | 2006-09-13 |
| 1245763671 | Ironhorse Physical Therapy and Pilates Inc. | Physical Therapist | 111 Deerwood Rd, 240, San Ramon, CA 94583-4409 | 2017-04-04 |
| 1124563119 | Cheri A Dang Dmd 2 Inc | Dentist | 111 Deerwood Rd, Suite 170, San Ramon, CA 94583-4409 | 2016-12-29 |
| 1407303357 | Cheri A Dang Dmd Inc | Dentist | 111 Deerwood Rd, Suite 170, San Ramon, CA 94583-4409 | 2016-09-08 |
| 1063874329 | Dentistar Comprehensive Dental Care, Inc. | Dentist | 111 Deerwood Rd, Suite 350, San Ramon, CA 94583-4409 | 2016-03-25 |
| 1811397383 | Dentabliss Dental | Dentist | 111 Deerwood Rd, Suite 170, San Ramon, CA 94583-4409 | 2014-09-03 |
| 1821404179 | Arash Abolfazlian, Dds, Msd, Inc. | Dentist | 111 Deerwood Rd, Suite 390, San Ramon, CA 94583-4409 | 2014-07-08 |
| 1780011106 | Arash Abolfazlian | Dentist | 111 Deerwood Rd, San Ramon, CA 94583-4409 | 2013-09-30 |
| 1962757351 | Robin Yeganeh | Psychologist | 111 Deerwood Rd, Suite 395, San Ramon, CA 94583-4409 | 2012-07-20 |
| 1326322256 | Ivan P. Hwang, M.d., Inc | Ophthalmology | 111 Deerwood Rd, Suite 300, San Ramon, CA 94583-4409 | 2011-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396069050 | Sidharth G Sharma | Psychiatry & Neurology | 2305 Camino Ramon Ste 221, San Ramon, CA 94583-1316 | 2010-03-23 |
| 1033303631 | Lisa Benton | Psychiatry & Neurology | 3 Crow Canyon Ct Ste 150, San Ramon, CA 94583-1619 | 2007-08-28 |
| 1477620151 | Brad H Gould | Psychiatry & Neurology | 2333 San Ramon Valley Blvd, Suite 125, San Ramon, CA 94583-1763 | 2006-11-29 |
| 1952492688 | Jerome Alexander Hanowsky | Psychiatry & Neurology | 2817 Crow Canyon Rd Ste 202, San Ramon, CA 94583-1639 | 2006-09-27 |
| 1902356082 | Brain Wellness Center PC | Psychiatry & Neurology | 2410 San Ramon Valley Blvd, Suite 140, San Ramon, CA 94583-1671 | 2016-10-12 |
| 1265988018 | Harinder S Auluck and Associates Corporation | Psychiatry & Neurology | 2301 Camino Ramon, Suite 155, San Ramon, CA 94583-2066 | 2016-08-31 |
| 1528032901 | Andrew Krompier | Psychiatry & Neurology | 5401 Norris Canyon Rd, Ste 314, San Ramon, CA 94583 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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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.