Individual provider Active NPI

Christine Montesa, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • San Diego, CA
National Provider Identifier
1467616581
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A110356 Issued in CA
Practice address
3020 Childrens Way
San Diego, CA 92123-4223
Phone
(858) 966-8030
Fax
(858) 966-8032
NPI assigned
Jul 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A110356 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A110356 CA Primary

Addresses

Primary practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181214001006 CA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5496090714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
University of California, San Diego School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1940 N Orange Grove Ave
Pomona, CA 91767-3002
Phone (909) 865-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110356CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group Inc. Surgery CurrentSince Oct 1, 2019 Accepting new patients
Chaparral Medical Group, Inc. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Chaparral Medical Group, Inc. Orthopaedic Surgery Current Accepting new patients
Chaparral Medical Group Inc CurrentSince Oct 1, 2019 Accepting new patients
Chaparral Medical Group, Inc. Family Medicine Current Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients
Chaparral Medical Group Inc Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1904 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 469-1823

1940 N Orange Grove Ave
Ste B
Pomona, CA 91767
Phone (909) 620-1974

160 E Artesia St
Ste 220
Pomona, CA 91767
Phone (909) 623-3428

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1866 N Orange Grove Ave
Ste 104
Pomona, CA 91767
Phone (909) 591-6414

1940 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-8443

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1467616581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5003",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-309-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-8030",
            "fax_number": "858-966-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESA",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A110356",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A110356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.