Active NPI
Montes Medical Group Inc
- Family Medicine Physician
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MONTES MEDICAL GROUP INC
- Practice address
- 832 S. Grevillea Ave.
Inglewood, CA 90301-3312 - Phone
- (310) 419-4354
- Fax
- (310) 419-4621
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan Zepeda Montes, M.D.
- Title
- Medical Director
- Phone
- (310) 419-4354
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
832 S. Grevillea Ave.
Inglewood, CA 90301-3312
Mailing address
832 S. Grevillea Ave.
Inglewood, CA 90301-3312
Phone (310) 419-4354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0026811 | Medicaid | CA |
Other names 1
- MONTES MEDICAL GROUP INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0881927 | Montes Medical Group Inc | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
4545 E 3rd St
Los Angeles, CA 90022
Phone (323) 261-3098
13820 San Antonio Dr
Norwalk, CA 90650
Phone (562) 317-1532
13345 Telegraph Rd
Whittier, CA 90605
13345 Telegraph Rd
Ste G
Whittier, CA 90605
11822 Floral Dr
Ste A
Whittier, CA 90601
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Pomona, CA
- NPI 1477004265
-
- Medical Physician Assistant
- Inglewood, CA
- NPI 1275197501
-
- Medical Physician Assistant
- South Gate, CA
- NPI 1437542883
-
- Physician Assistant
- Huntington Beach, CA
- NPI 1063239408
-
- Pediatrics Physician
- Whittier, CA
- NPI 1265525786
-
- Physician Assistant
- Inglewood, CA
- NPI 1518502517
-
- Medical Physician Assistant
- Culver City, CA
- NPI 1154516789
-
- Family Nurse Practitioner
- Whittier, CA
- NPI 1730682188
-
- Family Medicine Physician
- Whittier, CA
- NPI 1437259348
-
- Physician Assistant
- Los Angeles, CA
- NPI 1386946770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1093809592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 S. GREVILLEA AVE.",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903013312",
"telephone_number": "310-419-4354",
"fax_number": "310-419-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 S. GREVILLEA AVE.",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903013312",
"telephone_number": "310-419-4354",
"fax_number": "310-419-4621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTES MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "MONTES",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "ZEPEDA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-419-4354",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0026811",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MONTES MEDICAL GROUP INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.