Organization Active NPI

Montero Medical Corporation

  • Physical Medicine & Rehabilitation Physician
  • Oxnard, CA
National Provider Identifier
1194395137
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MONTERO MEDICAL CORPORATION
Practice address
2362 N Oxnard Blvd Ste 102
Oxnard, CA 93036-2053
Phone
(409) 877-3191
NPI assigned
Jul 1, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Dr. Winston Montero, MDNPI 1851550404
Title
Ceo
Phone
(805) 946-1634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

2362 N Oxnard Blvd Ste 102
Oxnard, CA 93036-2053

Mailing address

2362 N Oxnard Blvd Ste 102
Oxnard, CA 93036-2053
Phone (805) 946-1634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210827000935 CA Part B Supplier - Clinic/Group Practice 0042615114 Receives reassigned benefits from 1 practitioner
Practice locations: Oxnard, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2275671Montero Medical Corporation2362 N Oxnard Blvd Ste 102, Oxnard, CA 93036Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1194395137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 N OXNARD BLVD STE 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362053",
            "telephone_number": "805-946-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 N OXNARD BLVD STE 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362053",
            "telephone_number": "409-877-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTERO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-946-1634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.

Verify at the official NPI Registry.