Kenneth Alan Monte, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

20A15002 Issued in CA

Practice address

950 N Ramona Blvd
San Jacinto, CA 92582-2567

Phone

(951) 487-2674

Fax

(951) 487-2679

NPI assigned

Jun 23, 2011

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1447546882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N RAMONA BLVD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822567",
            "telephone_number": "951-487-2674",
            "fax_number": "951-487-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N RAMONA BLVD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925822567",
            "telephone_number": "951-487-2674",
            "fax_number": "951-487-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTE",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2021-06-01",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A15002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Emmanuel Wagayen Mislang, NP
• Paul Martin Mitchell, PHYSICIAN ASSISTANT
• Mobile Phlebotomist Services
• Moderm Medical Solutions Ca Inc.
• Moderm Wound Care Specialist LLC
• Tanna Victoria Montecino, LMFT
• Melinda Montes
• Sylvia Montes
• Brandi Lynn Moore
• Stephanie Michelle Moran

• Child & Adolescent Psychiatry Physician in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.