NPIMap

Individual provider Active NPI

Alicia Montanez, MD

  • Clinical Cardiac Electrophysiology Physician
  • Anaheim, CA
National Provider Identifier
1326219783
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A97240 Issued in CA
Practice address
1211 W la Palma Ave Ste 408
Anaheim, CA 92801-2806
Phone
(714) 353-3250
Fax
(714) 386-5350
NPI assigned
Mar 13, 2008
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A97240 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A97240 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 408
Anaheim, CA 92801-2806

Mailing address

PO Box 66596
Seattle, WA 98166-0596
Phone (714) 353-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090808000129 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 4688727639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Electrophysiology Associates, Inc.Group PAC ID 2163614785, 2 clinicians

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 408
Anaheim, CA 92801-2806
Phone (714) 353-3250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97240CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Electrophysiology Associates, Inc. Clinical Cardiac Electrophysiology CurrentSince Jun 22, 2010 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
University of California Irvine Past Accepting new patients
Southern California Electrophysiology Associates Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 408
Anaheim, CA 92801
Phone (714) 353-3250

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

12810 Heacock St
Ste B201
Moreno Valley, CA 92553
Phone (951) 601-2363

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1326219783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66596",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660596",
            "telephone_number": "714-353-3250",
            "fax_number": "714-533-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 408",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012806",
            "telephone_number": "714-353-3250",
            "fax_number": "714-386-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "ALICIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A97240",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A97240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.