Individual provider Active NPI

Glenda Lois Montague, M.D.

  • Otolaryngology Physician
  • Napa, CA
National Provider Identifier
1043508872
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A142034 Issued in CA
Practice address
3270 Villa LN
Napa, CA 94558-3085
Phone
(707) 251-3608
Fax
(707) 251-1727
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 125060100 IL
Otolaryngology Physician 207Y00000X A142034 CA Primary

Addresses

Primary practice location

3270 Villa LN
Napa, CA 94558-3085

Mailing address

3270 Villa LN
Napa, CA 94558-3085
Phone (707) 251-3608

Other practice location 1

5814 S Maryland Ave
U of Chicago ENT MC 1035 Room E-102 c/o Shanna Jones
Chicago, IL 60637-1462
Phone (773) 795-3158

Other practice location 2

1100 Trancas St Ste 210
Napa, CA 94558-2909
Phone (707) 251-3608

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmontague1781226@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160818000885 CA Practitioner - Otolaryngology 4385947704 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Suite 210
Napa, CA 94558-2909
Phone (714) 449-4800

3270 Villa LN
Napa, CA 94558-3085
Phone (707) 251-3608

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142034CAMDOtolaryngology Physician
125060100ILMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Mar 25, 2025 Accepting new patients
Providence Medical Foundation CurrentSince May 15, 2017 Accepting new patients
Providence Medical Foundation CurrentSince May 15, 2017 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince Mar 25, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Bass Medical Group Otolaryngology Current Accepting new patients
Bass Medical Group CurrentSince Jan 9, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients
University of California San Francisco Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

1860 Pennsylvania Ave
Ste 305
Fairfield, CA 94533
Phone (707) 646-4333

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

3270 Villa Ln
Napa, CA 94558
Phone (707) 251-3608

4 Financial Plz
Napa, CA 94558
Phone (707) 266-7051

1100 Trancas St
Ste 210
Napa, CA 94558
Phone (707) 251-3608

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: glenda.montague.1@25176.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1043508872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 VILLA LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583085",
            "telephone_number": "707-251-3608",
            "fax_number": "707-251-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 VILLA LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583085",
            "telephone_number": "707-251-3608",
            "fax_number": "707-251-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5814 S Maryland Ave",
            "address_2": "U of Chicago ENT MC 1035 Room E-102 c/o Shanna Jones",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371462",
            "country_code": "US",
            "telephone_number": "773-795-3158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Trancas St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945582909",
            "country_code": "US",
            "telephone_number": "707-251-3608",
            "fax_number": "707-251-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "GLENDA",
        "middle_name": "LOIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "IL",
            "license": "125060100",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A142034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmontague1781226@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1100 Trancas St Ste 210",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945582909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.