Active NPI
Herman Monia Jr.
- Rehabilitation Practitioner
- San Diego, CA
National Provider Identifier
1306364369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 5650 Mount Ackerly Dr
San Diego, CA 92111-4016 - Phone
- (858) 496-8205
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary | ||
| Mental Health Counselor | 101YM0800X | 101YM0800X |
Addresses
Primary practice location
5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Mailing address
4466 Altadena Ave Apt 7
San Diego, CA 92115-3372
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1306364369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4466 ALTADENA AVE APT 7",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 MOUNT ACKERLY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921114016",
"telephone_number": "858-496-8205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONIA",
"first_name": "HERMAN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "101YM0800X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.