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
- Doing business as
- 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
- Last updated
- Mar 29, 2024
- 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 names 1
- MONTES MEDICAL GROUP INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100618000315 | CA | Part B Supplier - Clinic/Group Practice | 6002946001 |
Receives reassigned benefits from 22 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA; Whittier, CA; Norwalk, CA; Inglewood, CA |
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
832 S Grevillea Ave
Inglewood, CA 90301
Phone (310) 419-4354
4545 E 3rd St
Los Angeles, CA 90022
Phone (323) 261-3098
4545 E 3rd St
Ste 102
Los Angeles, CA 90022
Phone (323) 264-6296
11822 Floral Dr
Ste A
Whittier, CA 90601
13345 Telegraph Rd
Whittier, CA 90605
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- 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": [],
"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.