Active NPI
Monica Montufar, CNM
- Advanced Practice Midwife
- San Luis, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP6539
- Practice address
- 151 S Oak Ave Ste 3
San Luis, AZ 85336-0756 - Phone
- (928) 662-0412
- Fax
- (928) 662-0411
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM 1513 | CA | |
| Advanced Practice Midwife | 367A00000X | AP6539 | AZ | Primary |
Addresses
Primary practice location
151 S Oak Ave Ste 3
San Luis, AZ 85336-0756
Mailing address
PO Box 617
Somerton, AZ 85350-0617
Phone (928) 315-7910
Other practice location 1
950 E Main St Bldg B
Somerton, AZ 85350-7409
Phone (928) 236-8001
Other practice location 2
2175 S Avenue A Ste A
Yuma, AZ 85364-8458
Phone (928) 459-3493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099334 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 S Oak Ave
Suite 3
San Luis, AZ 85336-0756
Phone (928) 662-0406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1513 | CA | MD | Occupational Therapy Assistant |
| CNM 1513 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Center for Border Health, Inc | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Current | Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients | |
| Yuma Regional Medical Center | Past | Accepting new patients |
Locations
1130 E Main St
Somerton, AZ 85350
Phone (928) 627-2017
214 W Main St
Somerton, AZ 85350
Phone (928) 627-1120
950 E Main St
Bldg B
Somerton, AZ 85350
Phone (928) 236-8001
Interoperability endpoints
- https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
- monica.montufar.1@11823.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1104228337
-
dba Family Behavioral Integrated Services
- Multi-Specialty Clinic/Center
- Somerton, AZ
- NPI 1063898260
-
- Rural Health Clinic/Center
- San Luis, AZ
- NPI 1447865654
-
- Rural Health Clinic/Center
- Somerton, AZ
- NPI 1003991506
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1003927336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 617",
"city": "SOMERTON",
"state": "AZ",
"postal_code": "853500617",
"telephone_number": "928-315-7910",
"fax_number": "928-722-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 S OAK AVE STE 3",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853360756",
"telephone_number": "928-662-0412",
"fax_number": "928-662-0411"
}
],
"practiceLocations": [
{
"address_1": "950 E Main St Bldg B",
"address_purpose": "LOCATION",
"city": "Somerton",
"state": "AZ",
"postal_code": "853507409",
"country_code": "US",
"telephone_number": "928-236-8001",
"fax_number": "928-627-1509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2175 S Avenue A Ste A",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853648458",
"country_code": "US",
"telephone_number": "928-459-3493",
"fax_number": "928-248-4061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTUFAR",
"first_name": "MONICA",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "CNM 1513",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "AP6539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099334",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.