Active NPI
Paul John Montalbano, PHARMACIST
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1245349372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15742
- Practice address
- 11301 Wilshire Blvd
BLDG 500 RM 1225
Los Angeles, CA 90073-1003 - Phone
- (310) 268-3504
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15742 | MA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd
BLDG 500 RM 1225
Los Angeles, CA 90073-1003
Mailing address
1412 Butler Ave
Apt # 1a
Los Angeles, CA 90025-2465
Phone (310) 268-8295
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 |
|---|---|---|---|
| 15742 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245349372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 BUTLER AVE",
"address_2": "APT # 1A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252465",
"telephone_number": "310-268-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"address_2": "BLDG 500 RM 1225",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-268-3504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALBANO",
"first_name": "PAUL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "15742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.