Montesano Spine & Sport West, P.C.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

G049341 Issued in CA

Legal business name

MONTESANO SPINE & SPORT WEST, P.C.

Practice address

450 N Roxbury Dr Ste 602
Beverly Hills, CA 90210-4220

Phone

(310) 858-5561

Fax

(310) 858-5562

NPI assigned

Sep 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Pasquale X Montesano, MD

Title

President

Phone

(310) 858-5561

Specialties & licenses 1

Addresses

Other names 1

• Montesano Spine & Sport West, Inc. Doing business as

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1386153252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 N CAMDEN DR FL 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104507",
            "telephone_number": "310-858-5561",
            "fax_number": "310-858-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 602",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104220",
            "telephone_number": "310-858-5561",
            "fax_number": "310-858-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Lead Hill Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613073",
            "country_code": "US",
            "telephone_number": "310-858-5561",
            "fax_number": "310-858-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTESANO SPINE & SPORT WEST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MONTESANO",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-858-5561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G049341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montesano Spine & Sport West, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sahar Monempour, MFTI
• Gareth Monks, D.C.
• Montaigne Management
• Abraham Montalvo, DDS
• William David Monte Jr., PT, DPT, ATC
• Matthew Colburn Montgomery, M.D.
• Julia Marie Tibayan Montoya
• Nicholas Monzon, M.A.
• Vikram Gangwar Mookerjee, MD
• Edward Anthony Moore, M.D.

• Orthopaedic Surgery of the Spine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.