Individual provider Active NPI

Arthur Gabriel Montes, DSW LCSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1447380910
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24587 Issued in CA
Practice address
5000 Birch St Ste 3000
Newport Beach, CA 92660-2140
Phone
(818) 741-6068
Fax
(949) 576-3913
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 24587 CA
Clinical Social Worker 1041C0700X 24587 CA Primary

Addresses

Primary practice location

5000 Birch St Ste 3000
Newport Beach, CA 92660-2140

Mailing address

5000 Birch St Ste 3000
Newport Beach, CA 92660-2140
Phone (818) 741-6068

Other practice location 1

30211 Avenida De Las Bandera Ste 200
Rancho Santa Margarita, CA 92688-2159
Phone (877) 421-1711

Other practice location 2

180 E Main St Ste 203
Tustin, CA 92780-4414
Phone (877) 421-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000604 CA Practitioner - Clinical Social Worker 1355598533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

180 E Main St
Suite 203
Tustin, CA 92780-4414
Phone (877) 421-1711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24587CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Path of Light, Inc PastSince Nov 10, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1447380910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BIRCH ST STE 3000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602140",
            "telephone_number": "818-741-6068",
            "fax_number": "949-576-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BIRCH ST STE 3000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602140",
            "telephone_number": "818-741-6068",
            "fax_number": "949-576-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30211 Avenida De Las Bandera Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882159",
            "country_code": "US",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 E Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804414",
            "country_code": "US",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTES",
        "first_name": "ARTHUR",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "24587",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.