Garrett Tyler Montoya, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759

Phone

(520) 836-5538

NPI assigned

Apr 20, 2021

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Practice of Arizona PLLCGroup PAC ID 4183963515, 27 clinicians

Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

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.

• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1265904247
  Medicare reassignment Care Compare group NPD
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1144764432
  Medicare reassignment Care Compare group
• Chandler Emergency Medical Group, LLC

  • Emergency Medicine Physician
  • Chandler, AZ
  • NPI 1104871961
  Medicare reassignment
• Prescott Healthcare Solutions LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023828431
  NPD
• Good Health Medical, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1912712431
  NPD
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1023970704
  NPD
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1841027695
  NPD
• Good Health Medical, PLLC

  • Family Medicine Physician
  • San Tan Valley, AZ
  • NPI 1063573079
  NPD (past)

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1043891070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO",
            "address_2": "STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "480-440-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "GARRETT",
        "middle_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Modi, DPT, PT
• Molar Magic, LLC
• Melissa Monson, FNP-C
• Ulysses Paz Montero, M.D.
• Lydia O. Montijo
• Veeresh Moodabagil, MD
• Garett Roger Moon, FNP
• Amaya Lillian Mooney
• Kathleen E Moore Bishop, MD
• Nicole Moraga

• Physician Assistant in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.

Verify at the official NPI Registry.