Active NPI
Eric Sebastian Montalvo II
- General Practice Dentistry
- Pleasant Hill, CA
National Provider Identifier
1306680640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111584
- Practice address
- 401 Gregory LN Ste 242
Pleasant Hill, CA 94523-2846 - Phone
- (925) 689-1020
- NPI assigned
- Jun 21, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111584 | CA | Primary |
Addresses
Primary practice location
401 Gregory LN Ste 242
Pleasant Hill, CA 94523-2846
Mailing address
2242 Polk St Apt 313
San Francisco, CA 94109-1813
Phone (804) 688-5060
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 |
|---|---|---|---|
| 111584 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Gibbs DDS Inc., Pleasant Hill | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Pleasant Hill, CA
- NPI 1306716618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1306680640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2242 POLK ST APT 313",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941091813",
"telephone_number": "804-688-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GREGORY LN STE 242",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232846",
"telephone_number": "925-689-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO",
"first_name": "ERIC",
"middle_name": "SEBASTIAN",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.