Individual provider Active NPI

Erick Leopoldo Montero, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Laguna Hills, CA
National Provider Identifier
1033439005
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A85344 Issued in CA
Practice address
24411 Health Center Dr
Suite 680
Laguna Hills, CA 92653-3651
Phone
(949) 268-4568
Fax
(949) 455-2795
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X M-14457 ID
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A85344 CA Primary

Addresses

Primary practice location

24411 Health Center Dr
Suite 680
Laguna Hills, CA 92653-3651

Mailing address

17360 Brookhurst St
Attn: MCMF - Credentialing Department
Fountain Valley, CA 92708-3720

Other practice location 1

122 W 7th Ave Ste 110
Spokane, WA 99204-2301
Phone (509) 456-0262

Other practice location 2

2003 Kootenai Health Way Ste 300
Coeur D Alene, ID 83814-6051
Phone (208) 625-4120

Other identifiers 1

IdentifierTypeStateIssuer
521042MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emontero610584@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140520000310 CA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1658404694 Reassigns benefits to 1 organization
I20190208001600 ID Practitioner - Thoracic Surgery 1658404694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-14457IDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Incyte Pathology, PLLC Current Accepting new patients
Memorialcare Medical Foundation CurrentSince Apr 20, 2015 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
St Jude Cardiothoracic Surgeons Current Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 22, 2019 Accepting new patients
Kadlec Regional Medical Center PastSince Jan 15, 2019 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

24411 Health Center Dr
Ste 680
Laguna Hills, CA 92653
Phone (949) 268-4568

1310 W Stewart Dr
Ste 503
Orange, CA 92868
Phone (714) 532-0793

2003 Kootenai Health Way
Ste 300
Coeur D Alene, ID 83814
Phone (208) 625-4120

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

338 6th St
Lewiston, ID 83501
Phone (208) 746-3320

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

1119 Highland Ave
Ste 4
Clarkston, WA 99403
Phone (509) 254-0080

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1033439005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST ST",
            "address_2": "ATTN: MCMF - CREDENTIALING DEPARTMENT",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 680",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-268-4568",
            "fax_number": "949-455-2795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W 7th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042301",
            "country_code": "US",
            "telephone_number": "509-456-0262",
            "fax_number": "509-462-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4120",
            "fax_number": "208-625-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "ERICK",
        "middle_name": "LEOPOLDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ID",
            "license": "M-14457",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A85344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521042",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emontero610584@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way Ste 300",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.