Active NPI
Michele M Montllor, M.D.
- Surgery Physician
- Pasadena, CA
National Provider Identifier
1427079136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A034090
- Practice address
- 100 W California Blvd
Pasadena
Pasadena, CA 91105-3010 - Phone
- (626) 397-5000
- Fax
- (626) 441-1048
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A034090 | CA | Primary |
Addresses
Primary practice location
100 W California Blvd
Pasadena
Pasadena, CA 91105-3010
Mailing address
470 Columbia Cir
Pasadena, CA 91105-3306
Phone (626) 252-6242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A340900 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A034090 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1427079136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 COLUMBIA CIR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053306",
"telephone_number": "626-252-6242",
"fax_number": "626-441-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W CALIFORNIA BLVD",
"address_2": "PASADENA",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053010",
"telephone_number": "626-397-5000",
"fax_number": "626-441-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTLLOR",
"first_name": "MICHELE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A034090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A340900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.