Yundell H Montalbo, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14164 Issued in CA

Practice address

330 W Ramsey Street
Banning, CA 92220

Phone

(951) 849-1950

Fax

(951) 849-0080

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1053468314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35581 STOCKTON ST",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236211",
            "telephone_number": "951-318-3790",
            "fax_number": "951-849-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W RAMSEY STREET",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "92220",
            "telephone_number": "951-849-1950",
            "fax_number": "951-849-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBO",
        "first_name": "YUNDELL",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kenneth Mindoro, M.D.
• Pamela Mitropoulos
• Rebecca Moldovan, FNP-C
• Georjana E Moncada Bolanos, MS
• Abigail Mondragon
• Arthur Montijo
• Danielle Moore
• Richard Anthony Morales II
• Jackeline Moreno
• Geoffrey Elton James Mosher, AMFT, APCC

• Medical Physician Assistant in Banning, CA
• Providers in Banning, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.