Individual provider Active NPI

Matthew J. Montee, PA

  • Surgical Physician Assistant
  • Manhattan Beach, CA
National Provider Identifier
1104052562
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
317 Rosecrans Ave
Manhattan Beach, CA 90266-3241
Phone
(310) 402-6811
Fax
(310) 546-3180
NPI assigned
May 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

317 Rosecrans Ave
Manhattan Beach, CA 90266-3241

Mailing address

317 Rosecrans Ave
Manhattan Beach, CA 90266-3241
Phone (310) 402-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52694CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1104052562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ROSECRANS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663241",
            "telephone_number": "310-402-6811",
            "fax_number": "310-546-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ROSECRANS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663241",
            "telephone_number": "310-402-6811",
            "fax_number": "310-546-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEE",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.