Active NPI
Patrick Robert Montejano, CAODC
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1194296384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5137
- Practice address
- 2731 W Olive Ave
Fresno, CA 93728-2449 - Phone
- (559) 233-5096
- Fax
- (559) 233-5099
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5137 | CA | Primary |
Addresses
Primary practice location
2731 W Olive Ave
Fresno, CA 93728-2449
Mailing address
2731 W Olive Ave
Fresno, CA 93728-2449
Phone (559) 233-5096
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5137 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point of Central California, Inc. | Past | Accepting new patients |
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.
-
- Substance Abuse Rehabilitation Facility
- Fresno, CA
- NPI 1073804498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1194296384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 W OLIVE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937282449",
"telephone_number": "559-233-5096",
"fax_number": "559-233-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 W OLIVE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937282449",
"telephone_number": "559-233-5096",
"fax_number": "559-233-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEJANO",
"first_name": "PATRICK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "CAODC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "5137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.