Active NPI
Montay Chatmon
- Driver
- Blythe, CA
National Provider Identifier
1386344539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D7119310
- Practice address
- 18394 Blythe Way
Blythe, CA 92225-2262 - Phone
- (951) 293-1874
- NPI assigned
- Mar 7, 2023
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D7119310 | CA | Primary |
Addresses
Primary practice location
18394 Blythe Way
Blythe, CA 92225-2262
Mailing address
18394 Blythe Way
Blythe, CA 92225-2262
Phone (951) 293-1874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 922680529 | Other | CA | MONTAY CHATMAN |
| 922680529 | Other | CA | SCOOP TRANSPORTATIONS LLC |
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 |
|---|---|---|---|
| D7119310 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386344539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18394 BLYTHE WAY",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922252262",
"telephone_number": "951-293-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18394 BLYTHE WAY",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922252262",
"telephone_number": "951-293-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATMON",
"first_name": "MONTAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "D7119310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTAY CHATMAN",
"identifier": "922680529",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOOP TRANSPORTATIONS LLC",
"identifier": "922680529",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blythe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.