Active NPI
Connie D Montes, PAC PHYSICIAN ASSIST
- Physician Assistant
- Whittier, CA
National Provider Identifier
1265656854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13711
- Practice address
- 14609 E Whittier Blvd
Whittier, CA 90605 - Phone
- (562) 789-9592
- Fax
- (562) 789-6102
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13711 | CA | Primary |
Addresses
Primary practice location
14609 E Whittier Blvd
Whittier, CA 90605
Mailing address
14609 E Whittier Blvd
Whittier, CA 90605
Phone (562) 789-9592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13711 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients |
Locations
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
Interoperability endpoints
- connie.montes.1@24997.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Cardiovascular Disease Physician
- Lancaster, CA
- NPI 1558027441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265656854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14609 E WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "90605",
"telephone_number": "562-789-9592",
"fax_number": "562-789-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14609 E WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "90605",
"telephone_number": "562-789-9592",
"fax_number": "562-789-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "CONNIE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PAC PHYSICIAN ASSIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.