NPIMap

Organization Active NPI

Montes Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1437487956
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTES MEDICAL GROUP INC
Practice address
4545 E 3Rd St
#102
Los Angeles, CA 90022-1656
Phone
(323) 266-7888
Fax
(323) 266-7997
NPI assigned
Nov 20, 2009
Last updated
May 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Dr. Juan Zepeda Montes, M.D.NPI 1548353055
Title
President
Phone
(562) 205-3404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

4545 E 3Rd St
#102
Los Angeles, CA 90022-1656

Mailing address

4545 E 3Rd St
#102
Los Angeles, CA 90022-1656
Phone (323) 266-7888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000315 CA Part B Supplier - Clinic/Group Practice 6002946001 Receives reassigned benefits from 22 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Whittier, CA; Norwalk, CA; Inglewood, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2003051Montes Medical Group Inc4545 E 3Rd St Ste 102, Los Angeles, CA 90022Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

4545 E 3rd St
Ste 102
Los Angeles, CA 90022
Phone (323) 266-7888

13820 San Antonio Dr
Norwalk, CA 90650
Phone (562) 317-1532

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1437487956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 3RD ST",
            "address_2": "#102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221656",
            "telephone_number": "323-266-7888",
            "fax_number": "323-266-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 3RD ST",
            "address_2": "#102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221656",
            "telephone_number": "323-266-7888",
            "fax_number": "323-266-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ZEPEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-205-3404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.