Leopoldo Montejo, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A40079 Issued in CA

Practice address

1393 Santa Rita Rd Ste F
Pleasanton, CA 94566-5667

Phone

(925) 462-2334

NPI assigned

Jul 10, 2006

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1043244080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SANTA RITA RD STE F",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665667",
            "telephone_number": "925-462-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEJO",
        "first_name": "LEOPOLDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A40079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A400790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joy Montes
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• Azlynn Starr Ilys Moore
• Chelsey Shannon Moore
• Gregg A. Moore, LCSW

• Anesthesiology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.