Individual provider Active NPI

Natasha Kimberly Bove, PA-C

  • Medical Physician Assistant
  • Inglewood, CA
National Provider Identifier
1275197501
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
57088 Issued in CA
Practice address
832 S Grevillea Ave
Inglewood, CA 90301-3312
Phone
(818) 517-3393
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 57088 CA Primary

Addresses

Primary practice location

832 S Grevillea Ave
Inglewood, CA 90301-3312

Mailing address

832 S Grevillea Ave
Inglewood, CA 90301-3312

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203000896 CA Practitioner - Physician Assistant 9638505092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montes Medical Group IncGroup PAC ID 6002946001, 3 clinicians

Practice addresses (Care Compare)

832 S Grevillea Ave
Inglewood, CA 90301-3312
Phone (310) 419-4354

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montes Medical Group Inc CurrentSince Dec 7, 2019 Accepting new patients
Montes Medical Group Inc CurrentSince Dec 7, 2019 Accepting new patients

Locations

832 S Grevillea Ave
Inglewood, CA 90301
Phone (310) 419-4354

11822 Floral Dr
Whittier, CA 90601
Phone (562) 205-3405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: natasha.bove@montes.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1275197501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S GREVILLEA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S GREVILLEA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013312",
            "telephone_number": "818-517-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "NATASHA",
        "middle_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.