Individual provider Active NPI

Karla Angela Reyes Montano, NP

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1083281075
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017434 Issued in CA
Practice address
10984 Hardy Pecan CT
Fontana, CA 92337-6882
Phone
(909) 560-7433
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017434 CA Primary

Addresses

Primary practice location

10984 Hardy Pecan CT
Fontana, CA 92337-6882

Mailing address

10984 Hardy Pecan CT
Fontana, CA 92337-6882
Phone (909) 560-7433

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906002593 CA Practitioner - Nurse Practitioner 7214311513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Future Health Center IncGroup PAC ID 7315329109, 7 clinicians

Practice addresses (Care Compare)

1690 Barton Rd
Suite 106
Redlands, CA 92373-4230
Phone (909) 493-5859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017434CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Future Health Center Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

1690 Barton Rd
Ste 106
Redlands, CA 92373
Phone (909) 493-5859

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1083281075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10984 HARDY PECAN CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923376882",
            "telephone_number": "909-560-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10984 HARDY PECAN CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923376882",
            "telephone_number": "909-560-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "KARLA ANGELA",
        "middle_name": "REYES",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.